PHYSICIANS AMBULATORY SURGERY CENTER INC
Ambulatory Health at Clyde Morris Blvd, Ormond Beach, FL

License number
Florida 886
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MRS. ELIZABETH LEE BAYLOR
Title: ADMINISTRATOR
Phone: (386) 672-1080
Address
Address
300 Clyde Morris Blvd SUITE B, Ormond Beach, FL 32174
National Provider ID: 1669483137
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Physicians Ambulatory Surgery

300 Clyde Morris Blvd #B, Ormond Beach, FL 32174

Status:
Inactive
Industry:
Medical Doctor's Office, Surgeons
Doing business as:
PHYSICIANS AMBULATORY SURGERY CENTER, INC
Inactive reason:
AMENDMENT
Registration:
Nov 17, 1993
Inactive since:
May 3, 2010
Phone:
(386) 672-1080 (Phone)
State ID:
P93000079168
Business type:
Florida Profit Corporation
Treasurer, Secretarys:
Arun Kmd Dhand (Treasurer, Director), 300 Clyde Morris Blvd STE A, Ormond Beach, FL 32174 (Physical),Bert Mmd Morrow (Secretary, Director), 300 Clyde Morris Blvd SUITE C, Ormond Beach, FL 32174 (Physical),Mark Amd Riner (Director, Vice President), 300 Clyde Morris Blvd SUITE A, Ormond Beach, FL 32174 (Physical),...
Agent:
Bert Morrow,300 Clyde Morris Blvd SUITE C, Ormond Beach, FL 32174 (Physical)
EIN:
59-3216499

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