Organization
ADVENTHEALTH SURGERY CENTER INNOVATION TOWER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY SHOULTS MBA, BSN, RN CNOR, C (EXECUTIVE DIRECTOR)
(407) 200-3706
Entity
Organization
Contact information
Practice address
265 E. ROLLINS STREET, 4TH FLOOR SUITE 4500, ORLANDO, FL 32804
(407) 200-3706
Mailing address
265 E. ROLLINS STREET, 4TH FLOOR SUITE 4500, ORLANDO, FL 32804
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
06/29/2023
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