Organization
PREMIER SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LALBAHADUR S NAGABHAIRU MD (MEDICAL DIRECTOR)
(352) 636-6969
Entity
Organization
Contact information
Practice address
2130 VINDALE RD., TAVARES, FL 32778-5637
(352) 383-7777
(352) 383-8875
Mailing address
2060 N DONNELLY ST, MOUNT DORA, FL 32757-2824
(352) 383-7777
(352) 383-8875
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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