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Organization
WEST FLORIDA SURGERY CENTER INC
Active
Organization
WEST FLORIDA SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIMANTAS ZALEPUGA (PRESIDENT)
(941) 761-1800
Entity
Organization
Contact information
Practice address
5817 21ST AVE W, BRADENTON, FL 34209-5641
(941) 794-0379
(941) 798-9905
Mailing address
5817 21ST AVE W, BRADENTON, FL 34209-5641
(941) 794-0379
(941) 798-9905
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000002
AHCA
FL
01
—
612
BCBS OF FL
—
Enumeration date
08/14/2006
Last updated
08/11/2021
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