DESTIN SURGERY CENTER LLC
Surgery Yellow Pages
Destin, Florida
Provider NPI: 1871594275
Organization Information:Organization Name: DESTIN SURGERY CENTER LLC
Practice Location:
1225 AIRPORT RD DESTIN, FL 32541 US
Tel: 850-650-7606 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:
1225 AIRPORT RD DESTIN, FL 32541 US
Tel: 850-650-7606 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | FL | 1136 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RAILROAD MEDICARE | 490005522 | FL | 01 |
075230400 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin