Organization
SURGICAL PARK CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
9065 DADELAND BLVD, MIAMI, FL 33156
(305) 271-9100
(866) 678-6878
Mailing address
9065 DADELAND BLVD, MIAMI, FL 33156
(305) 271-9100
(866) 678-6878
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
818
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079107500
—
FL
Enumeration date
04/10/2006
Last updated
02/13/2018
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