PARK PLACE SURGERY CENTER L L C (NPI# 1306866173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306866173 |
| Entity Type | Organization |
| Organization Name | PARK PLACE SURGERY CENTER L L C |
| Other Organization Name | PARK PLACE SURGERY CENTER |
| Practice Address |
2450 Maitland Center Pkwy Suite 100 Maitland FL 32751-4140 |
| Practice Telephone | 4078750296 |
| Practice Fax Number | 4078750929 |
| Mailing Telephone | 4078750296 |
| Mailing Fax Number | 4078750929 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-01-30 |
| Authorized Official Name | MR. MICHAEL DOYLE (PRESIDENT/COO) |
| Authorized Official Telephone | 8135696500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
1208 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Park Place Surgery Center | Other Name - Individual/Organization |
| Street Address |
2450 MAITLAND CENTER PKWY SUITE 100 |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649573015 | Tampa Pain Relief Center | Pain Medicine | 2450 Maitland Center Pkwy, 101, Maitland, FL 32751-4140 | 2010-12-07 |
| 1275616278 | Jyothi Raviprasad | Anesthesiology | 2450 Maitland Center Pkwy, Suite 100, Maitland, FL 32751-4140 | 2006-10-23 |
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| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
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| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.