LIVE OAK ENDOSCOPY CENTER, LLC
Surgery Yellow Pages
Vero Beach, Florida
Provider NPI: 1548254402
Organization Information:Organization Name: LIVE OAK ENDOSCOPY CENTER, LLC
Practice Location:
275 18TH ST SUITE 101 VERO BEACH, FL 32960 US
Tel: 772-299-5005 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:
275 18TH ST SUITE 101 VERO BEACH, FL 32960 US
Tel: 772-299-5005 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 | 1154 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
OXFORD HEALTH PLAN | A2882678 | 01 | |
BC BS FLORIDA | 6B6 | FL | 01 |
CIGNA | 4677223 | 01 | |
075390400 | FL | 05 | |
RAILROAD MEDICARE | 490005670 | FL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin