Organization
HOLIDAY SURGERY CENTER LIMITED PARTNERSHIP L L P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN WALL (CFO)
(727) 934-5705
Entity
Organization
Contact information
Practice address
1109 US HIGHWAY 19, HOLIDAY, FL 34691-5638
(727) 934-5705
(727) 937-3756
Mailing address
1109 US HIGHWAY 19, HOLIDAY, FL 34691-5638
(727) 934-5705
(727) 937-3756
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079128800
—
FL
Enumeration date
08/10/2006
Last updated
03/23/2012
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