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1-4 Surgical Services, LLC

Clinic/Center, Ambulatory Surgical in Tallahassee, FL. Organization (NPI-2).

NPI number1215115373
StatusActive
Last updated in NPPESDec 21, 2015

Details

NPI
1215115373
Entity type
Organization (NPI-2)
Legal business name
1-4 Surgical Services, LLC
Organization subpart
No
Enumeration date
Jan 31, 2008
Last updated
Dec 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical––Yes

Practice location

800 Ocala Rd
#300-346
Tallahassee, FL 32304-1669

Phone 520-547-4130 · Fax 520-258-0304

Mailing address

6339 E Speedway Blvd
Suite 201
Tucson, AZ 85710-1147

Phone 520-323-8732 · Fax 520-547-1865

Authorized official

Lacey Dinh
Revenue Cycle Manager Of Abs
5202580326

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