Organization
FROSTPROOF MEDICAL AND SURGICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY VENT (BILLING REPRESENTATIVE)
(813) 685-2191
Entity
Organization
Contact information
Practice address
45 DEVANE ST, FROSTPROOF, FL 33843-2017
(813) 685-2191
(813) 689-8755
Mailing address
45 DEVANE ST, FROSTPROOF, FL 33843-2017
(813) 685-2191
(813) 689-8755
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0033487
FL
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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