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Organization
SURGICAL CENTER ASSOCIATES LTD
Active
Organization
SURGICAL CENTER ASSOCIATES LTD
Active
Other names
WINTER PARK AMBULATORY SURGICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI MASSING (BUSINESS OFFICE MANAGER)
(407) 629-1500
Entity
Organization
Contact information
Practice address
1000 S ORLANDO AVE, WINTER PARK, FL 32789-4851
(407) 629-1500
(407) 629-1741
Mailing address
1000 S ORLANDO AVE, WINTER PARK, FL 32789-4851
(407) 629-1500
(407) 629-1741
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062932400
—
FL
01
—
0665033
AETNA
FL
01
—
104324
AVMED
FL
01
—
665033
AETNA HMO
FL
01
—
672
BCBS PROVIDER NUMBER
FL
01
—
8204795
AETNA PPO
FL
Enumeration date
04/17/2006
Last updated
07/24/2008
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