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General NPI Number Information
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NPI Number | 1568437820
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Entity Type | Organization
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Legal Business Name | FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 12900 CORTEZ BLVD SUITE 103
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City | BROOKSVILLE
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State | FL
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Zip | 34613-6828
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Country | US
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Telephone | 352-596-1145
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Fax | 352-596-7884
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Provider Business Mailing Address
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Address Line | 12900 CORTEZ BLVD SUITE 103
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City | BROOKSVILLE
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State | FL
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Zip | 34613-6828
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Country | US
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Telephone | 352-596-1145
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Fax | 352-596-7884
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Authorized Official
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Title or Position | VP, PHYSICIANS BUSINESS SERVICES
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Name | MR. JAMES PAT WRIGHT
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Credential |
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Telephone | 615-778-1502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 1104
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License Number State | FL
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