Gulfport Surgery Center, LLC
NPI #1326045444 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1326045444
- Entity Type
- Organization
- Organization Name
- Gulfport Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 5, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1300 BROAD AVE
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-2404
- Phone
- (228) 575-2200
Authorized Official
- Name
- WILLIAM BRIAN HERTZOG
- Title
- ADMINISTRATOR
- Phone
- (228) 575-2220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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