institution
2096 East Ocean Boulevard, Lc
Ambulatory Surgical Clinic/Center in Stuart, Florida
NPI 1609940899

2096 East Ocean Boulevard, Lc is an Ambulatory Surgical Clinic/Center based in Stuart, FL and is specialized in Ambulatory Surgical. 2096 East Ocean Boulevard, Lc practices in Stuart, FL. The NPI Number for 2096 East Ocean Boulevard, Lc is 1609940899 and holds a License No. 901 (Florida).

The current practice location address for 2096 East Ocean Boulevard, Lc is 2096 Se Ocean Blvd, Stuart, FL and can be reached out via phone at 772-223-0174 and via fax at 772-223-0558.

Location: 2096 Se Ocean Blvd, Stuart, FL, 34996-3304
institution
Provider Profile Details
NPI Number
1609940899
Provider Name
2096 East Ocean Boulevard, Lc
Credential
Provider Entity Type
Organization
Address
2096 Se Ocean Blvd, Stuart, FL, 34996-3304
Phone Number
772-223-0174
Fax Number
772-223-0558
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0097410006 01 FL CIGNA
079144000 05 FL
490004057 01 FL RAILROAD MEDICARE
61D 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
2096 Se Ocean Blvd
City
State
Zip
34996-3304
Phone Number
772-223-0174
Fax Number
772-223-0558
person
Provider Business Mailing Address Details
Address
2096 Se Ocean Blvd
City
State
Zip
34996-3304
Phone Number
772-223-0174
Fax Number
772-223-0558
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
901 (Florida)
Definition
Definition to come...
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