Provider Demographics
NPI:1710501879
Name:HZ SURGERY CENTER LLC
Entity Type:Organization
Organization Name:HZ SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MUZZONIGRO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:239-784-8266
Mailing Address - Street 1:7575 DR PHILLIPS BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7221
Mailing Address - Country:US
Mailing Address - Phone:407-377-5438
Mailing Address - Fax:407-386-6188
Practice Address - Street 1:17085 PORTER ROAD
Practice Address - Street 2:SUITE 110
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787
Practice Address - Country:US
Practice Address - Phone:239-784-8266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical