Organization
CAPITAL CITY SURGICAL CENTER LLC
Active
Other names
Capital City Surgical Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY LEICHUS (ADMINISTRATOR)
(850) 933-1885
Entity
Organization
Contact information
Practice address
2807 CAPITAL MEDICAL BLVD STE 2, TALLAHASSEE, FL 32308-8420
(850) 933-1885
(850) 309-7422
Mailing address
2807-2 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4405
(850) 933-1885
(850) 309-7422
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
FL
Other
Enumeration date
04/26/2006
Last updated
11/14/2013
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