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Organization
PACE SURGERY CENTER
Active
Organization
PACE SURGERY CENTER
Active
Parent organization
SACRED HEART HEALTH SYSTEM, INC
Other names
Pace Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SACRED HEART HEALTH SYSTEM, INC
Authorized official
MS. HENRY STOVALL (PRESIDENT/CEO)
(850) 416-7681
Entity
Organization
Contact information
Practice address
3754 HIGHWAY 90, SUITE 120, PACE, FL 32571-1096
(850) 994-1883
Mailing address
3754 HIGHWAY 90, SUITE 120, PACE, FL 32571-1096
(850) 994-1883
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076659300
—
FL
01
—
F1482
MEDICARE PROVIDER NUMBER
FL
Enumeration date
09/21/2006
Last updated
03/14/2014
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