Brandon Ambulatory Surgery Center Lc
Clinic/Center, Ambulatory Surgical in Brandon, FL. Organization (NPI-2).
NPI number1710071519
StatusActive
Last updated in NPPESSep 17, 2019
Details
- NPI
- 1710071519
- Entity type
- Organization (NPI-2)
- Legal business name
- Brandon Ambulatory Surgery Center Lc
- Organization subpart
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Sep 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Other names
- East Hillsborough Surgery Center (Doing Business As)
Practice location
514 Eichenfeld DriveBrandon, FL 33511
Phone 813-571-7088 · Fax 813-571-7099
Mailing address
514 Eichenfeld DriveBrandon, FL 33511
Phone 813-571-7088 · Fax 813-571-7099
Authorized official
Paula Russo
Chief Administrative Officer
8135717088
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