Organization
CENTRAL HERNANDO SURGICAL ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE L CRANKER (OFFICE MANAGER)
(352) 592-7700
Entity
Organization
Contact information
Practice address
11333 CORTEZ BLVD, BROOKSVILLE, FL 34613-6311
(352) 592-7700
(352) 592-7734
Mailing address
11333 CORTEZ BLVD, BROOKSVILLE, FL 34613-5404
(352) 592-7700
(352) 592-7734
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1856854
FIRSTHEALTH
FL
01
—
228681
STAYWELL/WELLCARE AND KID
FL
05
—
268130700
—
FL
01
—
5472963
CCN
FL
01
—
7186654
AETNA
FL
Enumeration date
03/31/2006
Last updated
11/06/2008
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