Organization
AMELIA ISLAND OUTPATIENT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMOS DARE MD (MEDICAL DIRECTOR)
(561) 358-1399
Entity
Organization
Contact information
Practice address
2416 LYNNDALE RD, FERNANDINA BEACH, FL 32034-5201
(561) 358-1399
Mailing address
2416 LYNNDALE RD, FERNANDINA BEACH, FL 32034-5201
(561) 358-1399
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
03/11/2020
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