Organization
DAVENPORT AMBULATORY SURGERY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY K KASTNER (ADMINISTRATOR)
(407) 256-0933
Entity
Organization
Contact information
Practice address
107 PARK PLACE BLVD, DAVENPORT, FL 33837-6858
(863) 419-2812
(863) 419-2821
Mailing address
107 PARK PLACE BLVD, DAVENPORT, FL 33837-6858
(863) 419-2812
(863) 419-2821
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
06/22/2021
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