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Organization
TRINITY SURGERY CENTER LLC
Active
Organization
TRINITY SURGERY CENTER LLC
Active
Other names
Baycare Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA ST LOUIS (VP)
(727) 394-6747
Entity
Organization
Contact information
Practice address
2020 TRINITY OAKS BLVD, TRINITY, FL 34655-4402
(727) 372-4055
(727) 372-4066
Mailing address
PO BOX 100307, ATLANTA, GA 30384-0307
(727) 372-4055
(727) 372-4066
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
F1401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0755109-00
—
FL
01
—
0941
STATE LICENSE
FL
Enumeration date
05/24/2005
Last updated
11/02/2015
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