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Organization
GRACE SURGERY CENTER LLC
Active
Organization
GRACE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D JO MD (PRESIDENT)
(352) 351-0029
Entity
Organization
Contact information
Practice address
2301 SE 3RD AVE BLDG 200, OCALA, FL 34471-5105
(352) 351-0029
(352) 804-9977
Mailing address
2301 SE 3RD AVE BLDG 100, OCALA, FL 34471-5105
(352) 351-0029
(352) 804-9977
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
06/11/2019
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