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Organization
PUTNAM AMBULATORY SURGERY CENTER LLC
Active
Organization
PUTNAM AMBULATORY SURGERY CENTER LLC
Active
Other names
Putnam Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M. GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
414 ZEAGLER DR, PALATKA, FL 32177-3815
(386) 328-5711
(386) 325-8178
Mailing address
103 POWELL CT, STE. 200, BRENTWOOD, TN 37027-5079
(615) 372-8500
(615) 372-8572
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2006
Last updated
09/10/2008
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