BRANDON AMBULATORY SURGERY CENTER LC NPI 1710071519

NPI Information

BRANDON AMBULATORY SURGERY CENTER LC is an ambulatory surgical clinic center in Brandon, FL. BRANDON AMBULATORY SURGERY CENTER LC NPI is 1710071519. The provider is registered as an organization entity type.
The provider Is Doing Business As East Hillsborough Surgery Center.

The provider's business location address is:

514 EICHENFELD DRIVE
BRANDON, FL
ZIP 33511
Phone: (813) 571-7088
Fax: (813) 571-7099

The provider's authorized official is Paula Russo .
The authorized official title is Chief Administrative Officer and has the following contact phone number (813) 571-7088.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 9/17/2019.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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