Organization
FLORENCE SURGERY & LASER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL ERIC SELTZER MD (OWNER)
(843) 664-9393
Entity
Organization
Contact information
Practice address
400 N CASHUA DR, FLORENCE, SC 29501
(843) 664-2460
(843) 664-2460
Mailing address
400 N CASHUA DR, FLORENCE, SC 29501-2098
(843) 664-2460
(843) 664-2460
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
802523
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409931
—
NC
05
—
GP3952
—
SC
Enumeration date
05/16/2006
Last updated
08/23/2018
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