Organization
PREMIER SURGICAL SUITES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINGER URBANIAK MD (CFO)
(616) 218-4495
Entity
Organization
Contact information
Practice address
2111 DREW ST STE 100, CLEARWATER, FL 33765-3215
(727) 604-5090
(727) 442-1600
Mailing address
2111 DREW ST STE 100, CLEARWATER, FL 33765-3215
(727) 604-5090
(727) 442-1600
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
06/27/2023
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