Organization
WIREGRASS RANCH ASC HOLDINGS LLC
Active
Parent organization
WIREGRASS RANCH ASC HOLDINGS LLC
Other names
Wiregrass Ranch Ambulatory Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WIREGRASS RANCH ASC HOLDINGS LLC
Authorized official
GAURAV SOOD (VP OF AMBULATORY SURGERY CENTERS)
(321) 841-8346
Entity
Organization
Contact information
Practice address
14547 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2709
(813) 978-1494
(813) 615-0296
Mailing address
14547 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2709
(813) 979-0440
(813) 615-0296
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1189
LICENSE #
FL
Enumeration date
11/21/2006
Last updated
10/03/2024
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