Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1306885256 |
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| LBN Legal business name | EYE SURGICAL CENTER, LLC | ||||
| Authorized official | JOHN MALIK - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/06/2006 | ||||
| Last updated | 01/27/2015 - About 11 years ago | ||||
| Identifiers |
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EYE SURGICAL CENTER, LLC
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