Organization
OUTPATIENT SURGERY CENTER INC
Active
Parent organization
OUTPATIENT SURGERY CENTER INC
Other names
Brandon Outpatient Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUTPATIENT SURGERY CENTER INC
Authorized official
DR. GEORGE S. SIDHOM MD (MEDICAL DIRECTOR)
(813) 731-0416
Entity
Organization
Contact information
Practice address
201 NOLAND DRIVE, BRANDON, FL 33511-5728
(813) 684-7246
(302) 688-1113
Mailing address
PO BOX 10390, BROOKSVILLE, FL 34603-0390
(352) 688-6393
(352) 688-1113
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1157
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002639517
UNITEDHEALTH
FL
01
—
290429
STAYWELLWELLCARE
FL
Enumeration date
11/15/2006
Last updated
11/08/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us