Lake Mary Surgery Center Llc

LBN: Lake Mary Surgery Center Llc
Lake Mary Surgery Center Llc is an health care organization with primary practice located at 460 Saint Charles Ct , Lake Mary FL 32746-2103. 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 Mary Surgery Center Llc can be contacted via phone (407) 585-0260, or through Baldock, Jennifer Boyd via phone (615) 234-5954.

Contact Information

Primary practice address
460 Saint Charles Ct Lake Mary FL 32746-2103
Phone: (407) 585-0260
Fax: (407) 585-0264
Website:
Map and Directions
Authorized official contact:
Name: Baldock, Jennifer Boyd
Phone: (615) 234-5954

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 1204 Florida

Profile Details

NPI number 1174530752
LBN Legal business name Lake Mary Surgery Center Llc
DBA Doing business as
Authorized official Baldock, Jennifer Boyd
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Feb 21st, 2023 - about last year

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 1174530752 NPPES
Florida MEDICAID 075897300

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