Organization
SURGICAL CENTER ASSOCIATES LTD
Active
Other names
WINTER PARK AMBULATORY SURGICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI MASSING (BUSINESS OFFICE MANAGER)
(407) 629-1500
Entity
Organization
Contact information
Practice address
1000 S ORLANDO AVE, WINTER PARK, FL 32789-4851
(407) 629-1500
(407) 629-1741
Mailing address
1000 S ORLANDO AVE, WINTER PARK, FL 32789-4851
(407) 629-1500
(407) 629-1741
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062932400
—
FL
01
—
0665033
AETNA
FL
01
—
104324
AVMED
FL
01
—
665033
AETNA HMO
FL
01
—
672
BCBS PROVIDER NUMBER
FL
01
—
8204795
AETNA PPO
FL
Enumeration date
04/17/2006
Last updated
07/24/2008
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