NPI: 1609969302 · BROOKSVILLE, FL 34613 · Ambulatory Surgical Clinic/Center · NPI assigned 10/02/2006
| Authorized Official | KANURI, DAMODAR (ADMINISTRATOR) |
| NPI Enumeration Date | 10/02/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 95 | $18K |
| 2021 | 41 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 43239 | 136 | 102 | $25K |