2096 East Ocean Boulevard, Lc
2096 East Ocean Boulevard, Lc is an Ambulatory Surgical Clinic/Center in Stuart, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
2096 SE Ocean BlvdStuart, FL 34996-3304
Phone: (772) 223-0174
Fax: (772) 223-0558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 901 (FL) |
|---|
Record details
| NPI number | 1609940899 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Barbara Tidwell — Administrator · (772) 223-0174 |
| Other names | Surgery Center Of Stuart |
| NPI enumerated | November 20, 2006 |
| Last updated in NPPES | February 2, 2012 |
| Mailing address | 2096 Se Ocean Blvd, Stuart, FL 34996-3304 |
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