Organization
EYE SURGICENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK F GONZALEZ (ADMINISTRATOR)
(352) 377-7733
Entity
Organization
Contact information
Practice address
2521 NW 41ST ST, GAINESVILLE, FL 32606-6630
(352) 377-7733
(352) 377-9577
Mailing address
2521 NW 41ST ST, GAINESVILLE, FL 32606-6630
(352) 377-7733
(352) 377-9577
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
982
FL
Other
Enumeration date
06/18/2006
Last updated
04/01/2008
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