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Organization

LEGACY SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD SEAN RAMBO (COO)
(919) 329-2882
Entity
Organization

Contact information

Practice address
6918 GUNN HWY STE E, TAMPA, FL 33625-3853
(919) 329-2882
Mailing address
9131 ANSON WAY STE 304, RALEIGH, NC 27615-3267
(919) 329-2882

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1369
FL

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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