OrganizationActive
Davenport Surgical LLC
NPI 1548867682 · Ambulatory Surgical Clinic/Center · Omaha, NE
Provider details
- NPI number
- 1548867682
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jenny Braganza, Credentialing Manager
Mailing address
17838 Burke St Ste 101
Omaha, NE 68118-2256
Registry dates
- Enumerated
- 2020-10-01
- Last updated
- 2020-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.