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Organization

ALII SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BENNETT MD (CEO)
(808) 955-0255
Entity
Organization

Contact information

Practice address
1620 ALA MOANA BLVD STE 500, HONOLULU, HI 96815-1437
(808) 955-0255
(808) 356-1958
Mailing address
1620 ALA MOANA BLVD STE 500, HONOLULU, HI 96815-1437
(808) 955-0255
(808) 356-1958

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QS0132X
Ophthalmologic Surgery Clinic/Center

Other

Enumeration date
07/16/2020
Last updated
07/17/2020
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