Provider Demographics
NPI:1649273848
Name:NTC SURGERY CENTER, LTD.
Entity type:Organization
Organization Name:NTC SURGERY CENTER, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:FLORIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-536-1703
Mailing Address - Street 1:1800 OAKLEY SEAVER BLVD
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1916
Mailing Address - Country:US
Mailing Address - Phone:352-536-1703
Mailing Address - Fax:352-536-9057
Practice Address - Street 1:1800 OAKLEY SEAVER BLVD
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1916
Practice Address - Country:US
Practice Address - Phone:352-536-1703
Practice Address - Fax:352-536-9057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1206261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106690-01OtherCITRUS HLTHCARE-PROV.#
FL6G3OtherBCBS PROVIDER NUMBER
FL2020137OtherFIRST HEALTH -PROVIDER #
FL3640949OtherAETNA HMO-PROVIDER #
FL5535681OtherCCN NETWORK-PROVIDER #
FL74780586OtherAETNA PPO-PROVIDER #
FL2020137OtherFIRST HEALTH -PROVIDER #
FL6G3OtherBCBS PROVIDER NUMBER