CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC
Surgery Yellow Pages
Port Charlotte, Florida
Provider NPI: 1730175159
Organization Information:Organization Name: CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC
Practice Location:
23970 SUNCOAST BLVD PORT CHARLOTTE, FL 33980 US
Tel: 941-625-3636 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
23970 SUNCOAST BLVD PORT CHARLOTTE, FL 33980 US
Tel: 941-625-3636 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BC/BS FLORIDA | 69Z | FL | 01 |
075366100 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin