Organization
NEW VISION SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL VICTOR MINOTTY MD (MANAGER)
(772) 257-8700
Entity
Organization
Contact information
Practice address
1055 37TH PL, VERO BEACH, FL 32960-6551
(772) 257-8700
(772) 257-8715
Mailing address
1055 37TH PL, VERO BEACH, FL 32960-6551
(772) 257-8700
(772) 257-8715
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10C0001563
MEDICARE ASC IDENTIFICATION NUMBER
FL
Enumeration date
03/31/2011
Last updated
10/03/2011
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