Peace River Surgery Center
NPI #1467101907 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1467101907
- Entity Type
- Organization
- Organization Name
- Peace River Surgery Center
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 22, 2022
- Last Updated
- Apr 26, 2023
Practice Location
- Address
- 4130 TAMIAMI TRL UNIT 301
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-9207
- Phone
- (941) 629-5356
Authorized Official
- Name
- DR. NICOLAI MEJEVOI, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (941) 629-5356
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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