| Middleburg Surgery Center Llc | |
|
1821 Blanding Blvd Middleburg FL 32068-3839 | |
| (904) 264-0400 | |
| Not Available |
| Full Name | Middleburg Surgery Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1821 Blanding Blvd, Middleburg, Florida |
| Authorized Official Name and Position | Esther Christine Lindeman (ADMINISTRATOR) |
| Authorized Official Contact | 9042640400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middleburg Surgery Center Llc 1821 Blanding Blvd Ste 2 Middleburg FL 32068-3839 Ph: () - | Middleburg Surgery Center Llc 1821 Blanding Blvd Middleburg FL 32068-3839 Ph: (904) 264-0400 |
| NPI Number | 1558844183 |
|---|---|
| Provider Enumeration Date | 09/10/2018 |
| Last Update Date | 03/13/2024 |
| Medicare PECOS PAC ID | 4688912991 |
|---|---|
| Medicare Enrollment ID | O20190212002144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558844183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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