Organization
SURGERY CENTER OF PORT CHARLOTTE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
21260 OLEAN BLVD, SUITE 105, PORT CHARLOTTE, FL 33952-6705
(941) 235-5800
(941) 235-5801
Mailing address
21260 OLEAN BLVD, SUITE 105, PORT CHARLOTTE, FL 33952-6705
(941) 235-5800
(941) 235-5801
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076113300
—
FL
Enumeration date
05/11/2006
Last updated
02/06/2018
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