Organization
SUMMIT AMBULATORY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
950 HARRY S TRUMAN DR N STE 520, LARGO, MD 20774-5487
(469) 872-4706
Mailing address
950 HARRY S TRUMAN DR N STE 520, LARGO, MD 20774-5487
(443) 386-4255
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
06/12/2025
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