NORTH FLORIDA SURGERY CENTER INC
Ambulatory Health at Professional Gln, Lake City, FL

License number
Florida 957
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. MOHAMMAD A. FAISAL M.D.
Title: PRESIDENT
Phone: (386) 758-8937
Address
Address
256 SW Professional Gln SUITE 101, Lake City, FL 32025
National Provider ID: 1467582437
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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North Florida Surgery Center, Inc

Lake City, FL

Industry:
Medical Doctor's Office, Anesthesiology
Doing business as:
North Florida Surgery Center
Registration:
Feb 23, 1996
Phone:
(386) 758-8937 (Phone)
Addresses:
256 SW Professional Gln, Lake City, FL 32025
PO Box 3306, Lake City, FL 32056
State ID:
P96000017306
Business type:
Domestic for Profit Corporation
Treasurer, Director, Secretarys:
Mohammad A. Faisal (Director, President),Karl D. Bodendorfer (Chairman, Secretary),Ricardo M. Rosado (Secretary, Treasurer),...
Agent:
Vivian Douberly
Categories:
Gastroenterology Physicians & Surgeons, Physicians & Surgeons

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