Organization
BRANDON AMBULATORY SURGERY CENTER LC
Active
Other names
East Hillsborough Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA RUSSO (CHIEF ADMINISTRATIVE OFFICER)
(813) 571-7088
Entity
Organization
Contact information
Practice address
514 EICHENFELD DRIVE, BRANDON, FL 33511
(813) 571-7088
(813) 571-7099
Mailing address
514 EICHENFELD DRIVE, BRANDON, FL 33511
(813) 571-7088
(813) 571-7099
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076908800
—
FL
Enumeration date
10/03/2006
Last updated
09/17/2019
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