Countryside Surgery Center, Ltd

LBN: Countryside Surgery Center, Ltd
Countryside Surgery Center, Ltd is an health care organization with primary practice located at 3291 N Mcmullen Booth Rd , Clearwater FL 33761-2010. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Countryside Surgery Center, Ltd can be contacted via phone (727) 725-5800, or through Swinney, William G via phone (972) 789-2877.

Contact Information

Primary practice address
3291 N Mcmullen Booth Rd Clearwater FL 33761-2010
Fax: (727) 797-4002
Website:
Authorized official contact:
Name: Swinney, William G

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 986 Florida

Profile Details

NPI number 1518920040
LBN Legal business name Countryside Surgery Center, Ltd
DBA Doing business as
Authorized official Swinney, William G
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2006
Last updated Feb 6th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518920040 NPPES
Florida MEDICAID 079131800

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