| Park Place Surgery Center | |
|
2450 Maitland Center Pkwy Suite 100 Maitland FL 32751-4140 | |
| (407) 875-0296 | |
| (407) 875-0929 |
| Full Name | Park Place Surgery Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2450 Maitland Center Pkwy, Maitland, Florida |
| Authorized Official Name and Position | Michael Doyle (PRESIDENT/COO) |
| Authorized Official Contact | 8135696500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Surgery Center 2450 Maitland Center Pkwy Suite 100 Maitland FL 32751-4140 Ph: (407) 875-0296 | Park Place Surgery Center 2450 Maitland Center Pkwy Suite 100 Maitland FL 32751-4140 Ph: (407) 875-0296 |
| NPI Number | 1306866173 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 01/30/2008 |
| Medicare PECOS PAC ID | 0648234013 |
|---|---|
| Medicare Enrollment ID | O20041116000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306866173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 1208 (Florida) | Primary |
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