Organization
NORTH FLORIDA REGIONAL FREESTANDING SURGERY CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
6705 NW 10TH PL, GAINESVILLE, FL 32605-4212
(352) 333-4555
(352) 333-4556
Mailing address
6705 NW 10TH PL, GAINESVILLE, FL 32605-4212
(352) 333-4555
(352) 333-4556
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079112100
—
FL
01
—
103534
AVMED HEALTH PLANS
FL
01
—
62R
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/04/2006
Last updated
02/13/2018
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