Organization
LASERSCOPIC SURGERY CENTER OF FLORID, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ROBERT WOLFF M.D. (MEDICAL DIRECTOR)
(727) 546-6566
Entity
Organization
Contact information
Practice address
5000 PARK ST N, ST PETERSBURG, FL 33709-2221
(727) 546-6566
(727) 546-6560
Mailing address
5000 PARK ST N, ST PETERSBURG, FL 33709-2221
(727) 546-6566
(727) 546-6560
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1221
STATE OF FLORIDA ASC #
FL
Enumeration date
09/20/2006
Last updated
08/22/2020
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