Organization
SURGICARE OF ST ANDREWS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
1350 E VENICE AVE, VENICE, FL 34285-9066
(941) 488-2030
(941) 484-2010
Mailing address
1350 E VENICE AVE, VENICE, FL 34285-9066
(941) 488-2030
(941) 484-2010
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079171700
—
FL
Enumeration date
04/17/2006
Last updated
02/06/2018
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