RIVERWALK AMBULATORY SURGERY CENTER LLC NPI 1588839609

NPI Information

RIVERWALK AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Bradenton, FL. RIVERWALK AMBULATORY SURGERY CENTER LLC NPI is 1588839609. The provider is registered as an organization entity type.

The provider's business location address is:

200 3RD AVE W., STE 170
BRADENTON, FL
ZIP 34205-632
Phone: (941) 782-5434
Fax: (941) 782-5438

The provider's authorized official is Allison L Wakeland .
The authorized official title is Billing Manager and has the following contact phone number (941) 216-3964.

The CLIA number assigned to this NPI record is 10D1087284 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 12/4/2018.

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:

Other Identifiers

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