Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1609940899 |
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| LBN Legal business name | 2096 EAST OCEAN BOULEVARD, LC | ||||||||||||||||||||
| Authorized official | BARBARA TIDWELL - (ADMINISTRATOR) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 11/20/2006 | ||||||||||||||||||||
| Last updated | 02/02/2012 - About 14 years ago | ||||||||||||||||||||
| Identifiers |
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