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Organization
FLORIDA SURGERY CENTER ENTERPRISES LLC
Active
Organization
FLORIDA SURGERY CENTER ENTERPRISES LLC
Active
Other names
Tampa Outpatient Surgical Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN F. MARTIN RN (ADMINISTRATOR)
(813) 844-4434
Entity
Organization
Contact information
Practice address
5013 N ARMENIA AVE, TAMPA, FL 33603-1403
(813) 875-0562
(813) 871-5236
Mailing address
5013 N ARMENIA AVE, TAMPA, FL 33603-1403
(813) 875-0562
(813) 871-5236
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11115401
CITRUS CARE
FL
01
—
17348
WELLCARE/STAYWELL
FL
01
—
215471
AMERIGROUP
FL
01
—
60X
BLUE CROSS BLUE SHIELD
FL
01
—
626273
AETNA
FL
Enumeration date
06/24/2006
Last updated
07/25/2007
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