NPI: 1912378357 · DAVENPORT, FL 33837 · Ambulatory Surgical Clinic/Center · NPI assigned 10/12/2015
| Authorized Official | KASTNER, NANCY (ADMINISTRATOR) |
| NPI Enumeration Date | 10/12/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 43239 | 12 | 12 | $3K |