THE ALTAMONTE SPRINGS FL ENDOSCOPY ASC LLC NPI 1518155811

NPI Information

NPI: 1518155811
Provider Name: THE ALTAMONTE SPRINGS FL ENDOSCOPY ASC LLC

Doing Business As: PALM ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
623 MAITLAND AVE
SUITE 1100
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (407) 478-0871
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THE ALTAMONTE SPRINGS FL ENDOSCOPY ASC LLC is an ambulatory surgical clinic center in Altamonte Springs, FL. THE ALTAMONTE SPRINGS FL ENDOSCOPY ASC LLC NPI is 1518155811. The provider is registered as an organization entity type.
The provider Is Doing Business As Palm Endoscopy Center.

The provider's business location address is:

623 MAITLAND AVE
SUITE 1100
ALTAMONTE SPRINGS, FL
ZIP 32701-823
Phone: (407) 478-0871
Fax: (407) 478-0877

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 10D1006017 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 11/2/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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