LAKE CITY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Lake City, FL. LAKE CITY SURGERY CENTER, LLC NPI is 1598965634. The provider is registered as an organization entity type.
The provider's business location address is:
208 SW PROSPERITY PLACE
LAKE CITY, FL
ZIP 32024
Phone: (386) 487-3930
Fax: (386) 487-3935
The provider's authorized official is Derenda Timberlake .
The authorized official title is Administrator and has the following contact phone number (386) 487-3930.
The CLIA number assigned to this NPI record is 10D0925298 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/18/2007 and was last updated on 3/31/2017.