Lake City Surgery Center, Llc

LBN: Lake City Surgery Center, Llc
Lake City Surgery Center, Llc is an health care organization with primary practice located at 208 Sw Prosperity Place , Lake City FL 32024. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Lake City Surgery Center, Llc can be contacted via phone (386) 487-3930, or through Timberlake, Derenda via phone (386) 487-3930.

Contact Information

Primary practice address
208 Sw Prosperity Place Lake City FL 32024
Phone: (386) 487-3930
Fax: (386) 487-3935
Website:
Map and Directions
Authorized official contact:
Name: Timberlake, Derenda Licensed Practical Nurse (LPN)
Phone: (386) 487-3930

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 1046 Florida

Profile Details

NPI number 1598965634
LBN Legal business name Lake City Surgery Center, Llc
DBA Doing business as
Authorized official Timberlake, Derenda Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2007
Last updated Mar 31st, 2017 - about 7 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 1598965634 NPPES
Florida Other 10-C0001276 ASC MEDICARE IDENTIFICATI

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