St Lukes Surgical Center

NPI #1063453082 in Tarpon Springs, Florida

Provider Information

NPI Number
1063453082
Entity Type
Organization
Organization Name
St Lukes Surgical Center
Primary Specialty
Ophthalmology
Enumeration Date
Jun 9, 2006
Last Updated
May 8, 2008

Practice Location

Address
43309 US HIGHWAY 19 N
State
Florida
ZIP Code
34689-6221
Phone
(727) 938-2020

Authorized Official

Name
MRS. SHARON DAVIS
Title
CREDENTIALING/BILLING SUPERVISOR
Phone
(727) 943-3111

Specialties & Taxonomy Codes

Specialty
Optometrist
Nurse Anesthetist, Certified Registered
Ophthalmology

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