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Organization
BRANDON AMBULATORY SURGERY CENTER LC
Active
Organization
BRANDON AMBULATORY SURGERY CENTER LC
Active
Other names
East Hillsborough Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA RUSSO (CHIEF ADMINISTRATIVE OFFICER)
(813) 571-7088
Entity
Organization
Contact information
Practice address
514 EICHENFELD DRIVE, BRANDON, FL 33511
(813) 571-7088
(813) 571-7099
Mailing address
514 EICHENFELD DRIVE, BRANDON, FL 33511
(813) 571-7088
(813) 571-7099
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076908800
—
FL
Enumeration date
10/03/2006
Last updated
09/17/2019
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