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Organization

SURGERY CENTER AT REGENCY PARK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSA M. PEREZ (BUSINESS OFFICE MANGER)
(419) 882-0003
Entity
Organization

Contact information

Practice address
2000 REGENCY CT STE 101, TOLEDO, OH 43623-3075
(419) 882-0003
(419) 882-2195
Mailing address
2000 REGENCY CT STE 101, TOLEDO, OH 43623-3075
(419) 882-0003
(419) 882-2195

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0091AS
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2049269
OH
Enumeration date
11/14/2005
Last updated
06/19/2008
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