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Organization
PHYSICIANS AMBULATORY SURGERY CENTER INC
Active
Organization
PHYSICIANS AMBULATORY SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH LEE BAYLOR (ADMINISTRATOR)
(386) 672-1080
Entity
Organization
Contact information
Practice address
300 CLYDE MORRIS BLVD, SUITE B, ORMOND BEACH, FL 32174-5956
(386) 672-1080
(386) 672-8628
Mailing address
300 CLYDE MORRIS BLVD, SUITE B, ORMOND BEACH, FL 32174-5956
(386) 672-1080
(386) 672-8628
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079155500
—
FL
Enumeration date
08/10/2006
Last updated
02/19/2009
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