Organization
SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN J KIRBO MD (OWNER PRESIDENT)
(850) 219-2000
Entity
Organization
Contact information
Practice address
2030 FLEISCHMANN RD, TALLAHASSEE, FL 32308
(850) 219-2000
(850) 877-2138
Mailing address
2030 FLEISCHMANN RD, TALLAHASSEE, FL 32308
(850) 219-2000
(850) 877-2138
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1216
FL
Other
Enumeration date
08/17/2006
Last updated
09/11/2014
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