{
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"OrgName": "FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC",
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"FirstLineMailingAddress": "12900 CORTEZ BLVD",
"SecondLineMailingAddress": "SUITE 103",
"MailingAddressCityName": "BROOKSVILLE",
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"MailingAddressPostalCode": "34613-6828",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "352-596-1145",
"MailingAddressFaxNumber": "352-596-7884",
"FirstLinePracticeLocationAddress": "12900 CORTEZ BLVD",
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"PracticeLocationAddressCityName": "BROOKSVILLE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "352-596-1145",
"PracticeLocationAddressFaxNumber": "352-596-7884",
"EnumerationDate": "02/21/2006",
"LastUpdateDate": "12/24/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WRIGHT",
"AuthorizedOfficialFirstName": "JAMES",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "615-778-1502",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "1104",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}