Organization
FLORENCE SURGERY & LASER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BECKER (CFO)
(914) 391-4921
Entity
Organization
Contact information
Practice address
400 N CASHUA DR, FLORENCE, SC 29501-2098
(864) 359-1308
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
802523
SC
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
802523
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409931
—
NC
05
—
ASC043
—
SC
Enumeration date
06/17/2008
Last updated
04/27/2026
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