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NPI Code Detail

MEDICARE: SURGICARE OF ST ANDREWS LTD

MEDICARE: SURGICARE OF ST ANDREWS 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
1261QA1903XAmbulatory Surgical Clinic/Center992FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598729329
Entity Type Code : Organization
Provider Name (Legal Business Name) : SURGICARE OF ST ANDREWS LTD
Provider Business Mailing Address
First Line : 1350 E VENICE AVE
Second Line :
City : VENICE
State : FL
Zip : 34285-9066
Country : US
Telephone Number : 941-488-2030
Fax Number : 941-484-2010
Provider Business Practice Location Address
First Line : 1350 E VENICE AVE
Second Line :
City : VENICE
State : FL
Zip : 34285-9066
Country : US
Telephone Number : 941-488-2030
Fax Number : 941-484-2010
Authorized Official
Title or Position : VP
Name : WILLIAM GREGORY SWINNEY
Credential :
Telephone Number : 972-789-2877
Provider Enumeration Date : 04/17/2006
Last Update Date : 02/06/2018

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Directions to “SURGICARE OF ST ANDREWS LTD ” Practice Location

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