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Organization
NORTHSHORE SURGICAL CENTER, LLC
Active
Organization
NORTHSHORE SURGICAL CENTER, LLC
Active
Parent organization
APEX GROUP HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
APEX GROUP HOLDINGS, LLC
Authorized official
MR. VIJAY PUROHIT (PRESIDENT)
(407) 284-1451
Entity
Organization
Contact information
Practice address
71207 HIGHWAY 21 STE B, COVINGTON, LA 70433-7121
(985) 867-5310
(985) 867-5243
Mailing address
13506 SUMMERPORT VILLAGE PKWY, WINDERMERE, FL 34786-7366
(985) 867-5310
(985) 867-5243
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
141
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1097870
—
LA
Enumeration date
11/17/2006
Last updated
08/06/2015
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