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Organization
SHERIDAN SURGERY CENTER
Active
Organization
SHERIDAN SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SEMINER MD (PRESIDENT)
(321) 676-1870
Entity
Organization
Contact information
Practice address
95 BULLDOG BLVD, STE104, MELBOURNE, FL 32901-3332
(321) 952-9800
(321) 952-7889
Mailing address
95 BULLDOG BLVD, STE104, MELBOURNE, FL 32901-3332
(321) 952-9800
(321) 952-7889
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079177600
—
FL
01
—
490003969
RAILROAD MEDICARE
FL
01
—
62Y
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/01/2006
Last updated
05/22/2008
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