# PARK PLACE SURGERY CENTER L L C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Place Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306866173
- **Authorized official:** MR. MICHAEL DOYLE (PRESIDENT/COO)
- **Authorized official phone:** (813) 569-6500

## Contact information

- **Practice address:** 2450 MAITLAND CENTER PKWY, SUITE 100, MAITLAND, FL 32751-4140
- **Practice address phone:** (407) 875-0296
- **Practice address fax:** (407) 875-0929
- **Mailing address:** 2450 MAITLAND CENTER PKWY, SUITE 100, MAITLAND, FL 32751-4140
- **Mailing address phone:** (407) 875-0296
- **Mailing address fax:** (407) 875-0929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 1208 | FL | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 01/30/2008
