National Provider Identifier Database

ST MARY SURGICAL INC
Critical Access


Contact Information

ST MARY SURGICAL INC
5343 59TH CIRCLE WEST
KENNETH CITY, FL33709
Phone: 727-417-2151
Fax:
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X

* Indicates primary specialty

NPI Profile & details for ST MARY SURGICAL INC

NPI Number 1649480146
Legal business name
LBN
ST MARY SURGICAL INC
Authorized official AMGED YOUNAN - (SURGICAL ASSISTANT CERTIFIED SA-C)
Entity Organization
Organization subpart No
Enumeration date 05/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: SA-C # 05-254

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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