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Organization
OLD MOULTRIE SURGICAL CENTER INC
Active
Organization
OLD MOULTRIE SURGICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE EDWARD SADOWSKI MD (MEDICAL DIRECTOR)
(904) 797-6627
Entity
Organization
Contact information
Practice address
2460 OLD MOULTRIE ROAD, SUITE 3, ST AUGUSTINE, FL 32086-4198
(904) 797-6627
(904) 797-6028
Mailing address
P O BOX 3127, ST AUGUSTINE, FL 32085-3127
(904) 797-6627
(904) 797-6028
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1089
FL
Other
Enumeration date
09/15/2006
Last updated
08/03/2009
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