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Organization

HARBORSIDE SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ARLINDA B DUNN (ADMINISTRATOR)
(941) 833-1104
Entity
Organization

Contact information

Practice address
610 E OLYMPIA AVE, SUITE 100, PUNTA GORDA, FL 33950-3875
(941) 637-0065
(941) 639-6545
Mailing address
610 E OLYMPIA AVE, SUITE 100, PUNTA GORDA, FL 33950-3875
(941) 637-0065
(941) 639-6545

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10C0001220
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
079174100
FL
Enumeration date
07/02/2006
Last updated
08/17/2012
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