National Provider Identifier Database

WINTER HAVEN AMBULATORY SURGICAL CENTER LLC
Ambulatory Surgical


Contact Information

WINTER HAVEN AMBULATORY SURGICAL CENTER LLC
325 AVE B NW
WINTER HAVEN, FL33881
Phone: 863-291-4000
Fax: 863-299-9179
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for WINTER HAVEN AMBULATORY SURGICAL CENTER LLC

NPI Number 1538126362
Legal business name
LBN
WINTER HAVEN AMBULATORY SURGICAL CENTER LLC
Authorized official COLLIN LEMAISTRE - (OFFICER/AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart No
Enumeration date 04/26/2006
Last updated 10/24/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 1063
  • FL Medicaid: 079234900

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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