Organization
PUTNAM AMBULATORY SURGERY CENTER LLC
Active
Other names
Putnam Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M. GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
414 ZEAGLER DR, PALATKA, FL 32177-3815
(386) 328-5711
(386) 325-8178
Mailing address
103 POWELL CT, STE. 200, BRENTWOOD, TN 37027-5079
(615) 372-8500
(615) 372-8572
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2006
Last updated
09/10/2008
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