Organization
MOHAWK SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY TAYLOR (MANAGING PARTNER)
(205) 824-6250
Entity
Organization
Contact information
Practice address
201 MOHAWK RD, MINNEOLA, FL 34715
(205) 824-6250
Mailing address
1 CHASE CORPORATE DR STE 200, HOOVER, AL 35244-7060
(205) 824-6250
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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