Healthcare Provider Details

I. General information

NPI: 1437736071
Provider Name (Legal Business Name): SCENT ASC OPPORTUNITY FUND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 PARK CENTRAL DR STE 200
COLUMBIA SC
29203-6469
US

IV. Provider business mailing address

145 PARK CENTRAL DR STE 200
COLUMBIA SC
29203-6469
US

V. Phone/Fax

Practice location:
  • Phone: 803-408-3277
  • Fax:
Mailing address:
  • Phone: 803-408-3277
  • Fax: 803-679-5767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT PUCHALSKI
Title or Position: MEDICAL DIRECTOR
Credential: M.D., FAAOA
Phone: 803-408-3277