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Organization

NTC SURGERY CENTER, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JORGE LUIS FLORIN M.D. (ADMINISTRATOR)
(352) 536-1703
Entity
Organization

Contact information

Practice address
1800 OAKLEY SEAVER BLVD, CLERMONT, FL 34711-1916
(352) 536-1703
(352) 536-9057
Mailing address
1800 OAKLEY SEAVER BLVD, CLERMONT, FL 34711-1916
(352) 536-1703
(352) 536-9057

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1206
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106690-01
CITRUS HLTHCARE-PROV.#
FL
01
2020137
FIRST HEALTH -PROVIDER #
FL
01
3640949
AETNA HMO-PROVIDER #
FL
01
5535681
CCN NETWORK-PROVIDER #
FL
01
6G3
BCBS PROVIDER NUMBER
FL
01
74780586
AETNA PPO-PROVIDER #
FL
Enumeration date
05/23/2005
Last updated
08/22/2020
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