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17560 SE 109TH TER RD
SUMMERFIELD, FL 34491
Phone: (352) 735-4100
County: Marion

Mailing Address

17564 HWY 441
MOUNT DORA, FL 32757
County: Lake
Website: https://www.midfloridaeye.com/surgery-center.htm
Accredited by: Accreditation Association for Ambulatory Health Care

Emergency Actions:

None
Facility/Provider Type: Ambulatory Surgical Center
Administrator: SONYA JOHNSON
Financial Officer: DAVID WARGO
Owner/Licensee: THE SURGERY CENTER OF THE VILLAGES LLC
Owner/Licensee Since: 1/25/2008
NamePositionOwnership
GREGORY J PANZOBOARD MEMBER/OFFICER30%
JEFFREY BAUMANNBOARD MEMBER/OFFICER30%
KEITH CHARLESBOARD MEMBER/OFFICER20%
RAY DAVID MAIZEL 9%
STACIA GOLDEY 9%
Profit Status: For-Profit
Licensed Beds:
Bed Types:
Operating Rooms : 3
Recovery Beds : 7
AHCA Number (File Number): 14960677
AHCA Field Office: 03
License Number: 1296
Current License Effective: 6/4/2018
Expires: 6/3/2020
License Status: LICENSED

Compare Quality and/or Pricing:

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
06/08/2016 2016006490 FineReporting $900.00 07/20/2016
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.

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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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