Organization
ST ANTHONYS PHYSICIANS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI MARIE BRICKEY R.N. (ADMINISTRATOR)
(727) 550-4500
Entity
Organization
Contact information
Practice address
705 16TH ST N, ST PETERSBURG, FL 33705-1334
(727) 550-4500
(727) 550-4501
Mailing address
705 16TH ST N, ST PETERSBURG, FL 33705-1334
(727) 550-4500
(727) 550-4501
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1203
FL
Other
Enumeration date
05/08/2006
Last updated
06/02/2008
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