Organization
PADDOCK PARK SURGERY CENTER L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PARKER (INSURANCE BILLING COORDINATOR)
(352) 479-0149
Entity
Organization
Contact information
Practice address
3320 SW 34TH CIR, OCALA, FL 34474-3371
(352) 479-0149
(352) 629-5231
Mailing address
3320 SW 34TH CIR, OCALA, FL 34474-3371
(352) 479-0149
(352) 629-5231
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6B2
BCBS
FL
Enumeration date
07/05/2005
Last updated
07/21/2022
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