Organization
NORMANDY SURGICAL SUITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE V ACOSTA MD (SOLE MBR)
(985) 898-2274
Entity
Organization
Contact information
Practice address
185 GREENBRIAR BLVD, SUITE C, COVINGTON, LA 70433-7234
(985) 898-2274
(985) 898-2010
Mailing address
185 GREENBRIAR BLVD, SUITE C, COVINGTON, LA 70433-7234
(985) 898-2274
(985) 898-2010
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
L020533
LA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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