Organization
MERRITT ISLAND ASC LLC
Active
Other names
Courtenay Same Day Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA M. SCROGGINS (MANAGER)
(561) 630-3277
Entity
Organization
Contact information
Practice address
2400 N COURTENAY PKWY, SUITE 2, MERRITT ISLAND, FL 32953-4127
(321) 454-4007
(321) 576-0257
Mailing address
2400 N COURTENAY PKWY, SUITE 2, MERRITT ISLAND, FL 32953-4127
(321) 454-4007
(321) 576-0257
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1249
STATE ASC LICENSE
FL
Enumeration date
05/24/2006
Last updated
10/10/2007
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