Organization
SURGERY CENTER OF FT PIERCE LTD
Active
Other names
Surgery Center of Ft. Pierce
Organization subpart
No
Provider details
NPI number
Authorized official
DON LIEDTKE (CFO)
(614) 344-5507
Entity
Organization
Contact information
Practice address
1707 S 25TH ST, FORT PIERCE, FL 34947-4709
(772) 464-8900
(772) 464-1104
Mailing address
1707 S 25TH ST, FORT PIERCE, FL 34947-4709
(772) 464-8900
(772) 464-1104
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076161300
—
FL
Enumeration date
06/12/2006
Last updated
05/23/2008
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