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Organization
CORAL SPRINGS AMBULATORY SURGERY CENTER LLC
Active
Organization
CORAL SPRINGS AMBULATORY SURGERY CENTER LLC
Active
Other names
Coral Springs Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A. CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1725 UNIVERSITY DRIVE, 2ND FLOOR, CORAL SPRINGS, FL 33071
(954) 227-7760
(954) 227-9975
Mailing address
1725 UNIVERSITY DRIVE, 2ND FLOOR, CORAL SPRINGS, FL 33071
(954) 227-7760
(954) 227-9975
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070313300
—
FL
01
—
215430
AMERIGROUP
—
01
—
2167675
AETNA
FL
01
—
261016
AVMED
—
01
—
30734
NEIGHBORHOOD
—
01
—
63K
BC
FL
01
—
SG013546
VISTA
—
Enumeration date
05/10/2006
Last updated
09/07/2023
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