Organization
ALLIANCE SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA RUSTIN RN (CHIEF ADMINISTRATIVE OFFICER)
(407) 708-5383
Entity
Organization
Contact information
Practice address
917 RINEHART RD, SUITE 1001, LAKE MARY, FL 32746
(407) 708-5383
(407) 708-5390
Mailing address
917 RINEHART RD, SUITE 1001, LAKE MARY, FL 32746
(407) 708-5383
(407) 708-5390
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Enumeration date
12/22/2009
Last updated
10/17/2018
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