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Organization

BIG BEND OPERATIONS

Active
Other names
Nature Coast Regional Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES SCOTT KEELER (MANAGER EMPLOYEE / CEO)
(850) 584-2778
Entity
Organization

Contact information

Practice address
555 N BYRON BUTLER PKWY, PERRY, FL 32347-2315
(850) 584-2778
(850) 584-2790
Mailing address
555 N BYRON BUTLER PKWY, PERRY, FL 32347-2315
(850) 584-2778
(850) 584-2790

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1076
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
079243800
FL
Enumeration date
06/16/2005
Last updated
02/19/2009
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