Intercoastal Medical Group Ambulatory Surgery Center
LBN: Aesculapian Surgery Center, Llc
Intercoastal Medical Group Ambulatory Surgery Center is an health care organization with primary practice located at 3333 Cattlemen Rd Suite 100, Sarasota FL 34232-6056. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Aesculapian Surgery Center, Llc can be contacted via phone (941) 379-5884, or through Simon, Geoffrey G via phone (941) 955-1108.
Contact Information
Primary practice address
3333 Cattlemen Rd Suite 100
Sarasota FL 34232-6056
Phone: (941) 379-5884
Fax: (941) 379-1760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 1181 | Florida |
Profile Details
| NPI number | 1801869847 |
|---|---|
| LBN Legal business name | Aesculapian Surgery Center, Llc |
| DBA Doing business as | Intercoastal Medical Group Ambulatory Surgery Center |
| Authorized official | Simon, Geoffrey G FACMPE |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Aug 17th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801869847 | NPPES |
| Florida | MEDICAID | 075718700 |
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