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Organization
MERRITT ISLAND ASC LLC
Active
Organization
MERRITT ISLAND ASC LLC
Active
Other names
Courtenay Same Day Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA M. SCROGGINS (MANAGER)
(561) 630-3277
Entity
Organization
Contact information
Practice address
2400 N COURTENAY PKWY, SUITE 2, MERRITT ISLAND, FL 32953-4127
(321) 454-4007
(321) 576-0257
Mailing address
2400 N COURTENAY PKWY, SUITE 2, MERRITT ISLAND, FL 32953-4127
(321) 454-4007
(321) 576-0257
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1249
STATE ASC LICENSE
FL
Enumeration date
05/24/2006
Last updated
10/10/2007
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