Cordova Ambulatory Surgical Center Inc

LBN: Cordova Ambulatory Surgical Center Inc
Cordova Ambulatory Surgical Center Inc is an health care organization with primary practice located at 545 Brent Ln , Pensacola FL 32503-2003. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Cordova Ambulatory Surgical Center Inc can be contacted via phone (850) 477-5110, or through Fernandez, Elaine via phone (850) 477-5110.

Contact Information

Primary practice address
545 Brent Ln Pensacola FL 32503-2003
Phone: (850) 477-5110
Fax: (850) 477-7548
Website:
Map and Directions
Authorized official contact:
Name: Fernandez, Elaine
Phone: (850) 477-5110

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 768 Florida

Profile Details

NPI number 1770516338
LBN Legal business name Cordova Ambulatory Surgical Center Inc
DBA Doing business as
Authorized official Fernandez, Elaine
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Feb 27th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770516338 NPPES
Florida MEDICAID 079046000

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