Organization
OCALA FL ASC LLC
Active
Other names
Laser & Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BILLIE A PAYNE (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
2207 SW 1ST AVE, OCALA, FL 34474-5105
(352) 351-1200
(352) 351-1850
Mailing address
2207 SW 1ST AVE, OCALA, FL 34474-5105
(352) 351-1200
(352) 351-1850
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0760765-00
—
FL
Enumeration date
02/20/2006
Last updated
05/06/2009
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