MEDICARE: SURGICAL CENTER OF CENTRAL FL, INC.

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	805	FL

General Provider Information

NPI Number	:	1396747564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL CENTER OF CENTRAL FL, INC.

Provider Business Mailing Address
First Line	:	3601 S HIGHLANDS AVE
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-5418
Country	:	US
Telephone Number	:	863-382-7500
Fax Number	:	863-385-7332

Provider Business Practice Location Address
First Line	:	3601 S HIGHLANDS AVE
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-5418
Country	:	US
Telephone Number	:	863-382-7500
Fax Number	:	863-385-7332

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. H. FREDERICK KEIBER
Credential	:	M.D.
Telephone Number	:	863-382-7500

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	08/22/2020

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