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Organization

TAMARAC ENDOSCOPY ASC LLC

Active
Other names
Digestive Disease Endoscopy Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BILLIE A PAYNE (PRESIDENT)
(615) 665-1283
Entity
Organization

Contact information

Practice address
7481 N UNIVERSITY DR, TAMARAC, FL 33321-2971
(954) 718-1000
(954) 718-1012
Mailing address
7481 N UNIVERSITY DR, TAMARAC, FL 33321-2971
(954) 718-1000
(954) 718-1012

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1109
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
070778300
FL
Enumeration date
02/08/2006
Last updated
05/06/2009
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