| Atlantic Surgery Center Inc | |
|
541 Health Blvd Daytona Beach FL 32114-1493 | |
| (386) 239-0021 | |
| (386) 248-8226 |
| Full Name | Atlantic Surgery Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 541 Health Blvd, Daytona Beach, Florida |
| Authorized Official Name and Position | Anthony L Cantwell (PRESIDENT) |
| Authorized Official Contact | 3862390021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Surgery Center Inc 541 Health Blvd Daytona Beach FL 32114-1493 Ph: (386) 239-0021 | Atlantic Surgery Center Inc 541 Health Blvd Daytona Beach FL 32114-1493 Ph: (386) 239-0021 |
| NPI Number | 1518976661 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 7618136763 |
|---|---|
| Medicare Enrollment ID | O20120308000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518976661 | NPI | - | NPPES |
| 1495361 | Other | FL | UNITED MINE WORKERS |
| 006574700 | Medicaid | FL | |
| 64J | Other | FL | BLUE CROSS AND BLUE SHIEL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 1020 (Florida) | Primary |
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