Organization
NORTH FLORIDA SURGERY CENTER INC
Active
Other names
North Florida Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD A. FAISAL M.D. (PRESIDENT)
(386) 758-8937
Entity
Organization
Contact information
Practice address
256 SW PROFESSIONAL GLN, SUITE 101, LAKE CITY, FL 32025-1104
(386) 758-8937
(386) 755-2169
Mailing address
256 SW PROFESSIONAL GLN, SUITE 101, LAKE CITY, FL 32025-1104
(386) 758-8937
(386) 755-2169
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079210100
—
FL
01
—
235726
AVMED
FL
01
—
490003028
RAILROAD MEDICARE
FL
01
—
65S
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/07/2007
Last updated
10/16/2008
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