Provider Demographics
NPI:1518264332
Name:SANTA FE SURGERY CENTER LLC
Entity Type:Organization
Organization Name:SANTA FE SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:K
Authorized Official - Last Name:KASTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-256-0933
Mailing Address - Street 1:8564 E COUNTY ROAD 466
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32162-3020
Mailing Address - Country:US
Mailing Address - Phone:407-256-0933
Mailing Address - Fax:407-774-0681
Practice Address - Street 1:8500 COUNTY ROAD 466
Practice Address - Street 2:SUITE 101
Practice Address - City:LADY LAKES
Practice Address - State:FL
Practice Address - Zip Code:32162
Practice Address - Country:US
Practice Address - Phone:407-256-0933
Practice Address - Fax:407-774-0681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical