institution
Wiregrass Ranch Asc Holdings Llc
Ambulatory Surgical Clinic/Center in Tampa, Florida
NPI 1750456539

Wiregrass Ranch Asc Holdings Llc is an Ambulatory Surgical Clinic/Center based in Tampa, FL and is specialized in Ambulatory Surgical. Wiregrass Ranch Asc Holdings Llc practices in Tampa, FL. The NPI Number for Wiregrass Ranch Asc Holdings Llc is 1750456539 and holds a License No. 1189 (Florida).

The current practice location address for Wiregrass Ranch Asc Holdings Llc is 14547 Bruce B Downs Blvd, Tampa, FL and can be reached out via phone at 813-978-1494 and via fax at 813-615-0296.

Location: 14547 Bruce B Downs Blvd, Tampa, FL, 33613-2709
institution
Provider Profile Details
NPI Number
1750456539
Provider Name
Wiregrass Ranch Asc Holdings Llc
Credential
Provider Entity Type
Organization
Address
14547 Bruce B Downs Blvd, Tampa, FL, 33613-2709
Phone Number
813-978-1494
Fax Number
813-615-0296
Provider Enumeration Date
11/21/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1189 01 FL LICENSE #
institution
Provider Business Practice Location Address Details
Address
14547 Bruce B Downs Blvd
City
State
Zip
33613-2709
Phone Number
813-978-1494
Fax Number
813-615-0296
person
Provider Business Mailing Address Details
Address
14547 Bruce B Downs Blvd
City
State
Zip
33613-2709
Phone Number
813-978-1494
Fax Number
813-615-0296
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
1189 (Florida)
Definition
Definition to come...
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