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ALLIANCE SURGICAL CENTER LLC NPI 1417286428


NPI Information

NPI: 1417286428
Provider Name: ALLIANCE SURGICAL CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D1033762

Address:
917 RINEHART RD
SUITE 1001
LAKE MARY, FL
ZIP 32746
Phone: (407) 708-5383
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ALLIANCE SURGICAL CENTER LLC is an ambulatory surgical clinic center in Lake Mary, FL. ALLIANCE SURGICAL CENTER LLC NPI is 1417286428. The provider is registered as an organization entity type.

The provider's business location address is:

917 RINEHART RD
SUITE 1001
LAKE MARY, FL
ZIP 32746
Phone: (407) 708-5383
Fax: (407) 708-5390

The provider's authorized official is Patricia Rustin .
The authorized official title is Chief Administrative Officer and has the following contact phone number (407) 708-5383.

The CLIA number assigned to this NPI record is 10D1033762 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2009 and was last updated on 10/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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