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2096 EAST OCEAN BOULEVARD, LC, AHC Facilities / Ambulatory Surgical

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Stethoscope
Reviews Information on 2096 EAST OCEAN BOULEVARD, LC
NPI Number 1609940899
State Identifier(s) Florida Medicare UPIN #F1046
Florida Other ID #490004057
Florida Other ID #61D
Florida Other ID #0097410006
Florida Medicaid #079144000
Group Name 2096 EAST OCEAN BOULEVARD, LC
Doing business as SURGERY CENTER OF STUART
Credentials - Lic #:901 (Florida)
Mailing Address Confidential
Business Address 2096 SE OCEAN BLVD
STUART, FL 34996-3304

Phone (772) 223-0174 Fax (772) 223-0558
Name BARBARA ANN TIDWELL - (ADMINISTRATOR)
Primary Specialty AHC Facilities / Ambulatory Surgical
Additional Specialties
Last Modified 02/02/2012
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