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Organization
MEDICAL CENTER SURGERY ASSOCIATES, LP
Active
Organization
MEDICAL CENTER SURGERY ASSOCIATES, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCKNIGHT (VP / CFO)
(972) 789-2816
Entity
Organization
Contact information
Practice address
11377 CORTEZ BLVD, BROOKSVILLE, FL 34613
(352) 597-3060
(352) 597-3077
Mailing address
11377 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 597-3060
(352) 597-3077
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079081800
—
FL
01
—
20898
WELLCARE
FL
01
—
490001842
MEDICARE RAILROAD
FL
01
—
61X
BLUE CROSS BLUE SHIELD
FL
01
—
6806444
UNITED HEALTH CARE
FL
01
—
8030382001
CIGNA HEALTHCARE
FL
Enumeration date
05/23/2005
Last updated
09/10/2026
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