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345 CLYDE MORRIS BLVD
SUITE 300
ORMOND BEACH, FL 32174
Phone: (386) 672-7575
County: Volusia

Mailing Address

345 CLYDE MORRIS BLVD
STE 300
ORMOND BEACH, FL 32174-3114
County: Volusia
Website: http://tomokaeye.com
Accredited by: Accreditation Association for Ambulatory Health Care

Emergency Actions:

None
Facility/Provider Type: Ambulatory Surgical Center
Administrator: LISA WHITE
Financial Officer: JULIE HERRING
Owner/Licensee: TOMOKA SURGERY CENTER LLC
Owner/Licensee Since: 6/26/2006
NamePositionOwnership
ALAN DAVID SPERTUSBOARD MEMBER/OFFICER20%
MARK EDWARD KENNEDYBOARD MEMBER/OFFICER20%
MICHAEL KEVIN MAKOWSKIBOARD MEMBER/OFFICER20%
RORY MYER 20%
TIMOTHY ROOTBOARD MEMBER/OFFICER20%
Profit Status: For-Profit
Licensed Beds:
Bed Types:
Operating Rooms : 2
Recovery Beds : 8
AHCA Number (File Number): 14960581
AHCA Field Office: 04
License Number: 1251
Current License Effective: 6/28/2018
Expires: 6/27/2020
License Status: LICENSED

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Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
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