Organization
RIVERWALK AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA PERRINE RN (ADMINISTRATOR)
(941) 782-5439
Entity
Organization
Contact information
Practice address
200 3RD AVE W., STE 170, BRADENTON, FL 34205-8632
(941) 782-5434
(941) 782-5438
Mailing address
200 3RD AVE W STE 170, BRADENTON, FL 34205-8632
(941) 782-5439
(941) 782-5438
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1304
FL
261QA1903X
Ambulatory Surgical Clinic/Center
—
FL
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11918800
—
FL
Enumeration date
04/29/2008
Last updated
02/05/2025
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