MEDICARE: SURGICAL CENTER ASSOCIATES LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	1018	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0665033	OTHER	FL	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	672	OTHER	FL	BCBS PROVIDER NUMBER
4	665033	OTHER	FL	AETNA HMO
5	104324	OTHER	FL	AVMED
6	8204795	OTHER	FL	AETNA PPO

General Provider Information

NPI Number	:	1326003187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL CENTER ASSOCIATES LTD

Provider Business Mailing Address
First Line	:	1000 S ORLANDO AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4851
Country	:	US
Telephone Number	:	407-629-1500
Fax Number	:	407-629-1741

Provider Business Practice Location Address
First Line	:	1000 S ORLANDO AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4851
Country	:	US
Telephone Number	:	407-629-1500
Fax Number	:	407-629-1741

Authorized Official
Title or Position	:	BUSINESS OFFICE MANAGER
Name	:	MRS. TONI MASSING
Credential	:
Telephone Number	:	407-629-1500

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	07/24/2008

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