Organization
TRINITY SURGERY CENTER LLC
Active
Other names
Baycare Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA ST LOUIS (VP)
(727) 394-6747
Entity
Organization
Contact information
Practice address
2020 TRINITY OAKS BLVD, TRINITY, FL 34655-4402
(727) 372-4055
(727) 372-4066
Mailing address
PO BOX 100307, ATLANTA, GA 30384-0307
(727) 372-4055
(727) 372-4066
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
F1401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0755109-00
—
FL
01
—
0941
STATE LICENSE
FL
Enumeration date
05/24/2005
Last updated
11/02/2015
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