Organization
NORTHWEST FLORIDA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON NMI SAMUELIAN (CEO)
(850) 747-0400
Entity
Organization
Contact information
Practice address
767 AIRPORT RD, PANAMA CITY, FL 32405-4000
(850) 747-0400
(850) 913-9744
Mailing address
767 AIRPORT RD, PANAMA CITY, FL 32405-4000
(850) 747-0400
(850) 913-9744
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000745
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079169500
—
FL
01
—
62N
BCBS
FL
Enumeration date
06/23/2005
Last updated
08/05/2025
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