# SUMMIT AMBULATORY SURGICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154136380
- **Authorized official:** JONATHAN BAILEY (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (203) 609-1168

## Contact information

- **Practice address:** 950 HARRY S TRUMAN DR N STE 520, LARGO, MD 20774-5487
- **Practice address phone:** (469) 872-4706
- **Mailing address:** 950 HARRY S TRUMAN DR N STE 520, LARGO, MD 20774-5487
- **Mailing address phone:** (443) 386-4255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2025
- **Last updated:** 06/12/2025