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Organization
SURGERY CENTER OF MOUNT DORA, LLC
Active
Organization
SURGERY CENTER OF MOUNT DORA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN USON (ADMINISTRATOR)
(352) 383-1268
Entity
Organization
Contact information
Practice address
3710 LAKE CENTER DR., MOUNT DORA, FL 32757
(352) 383-1268
(352) 385-3199
Mailing address
3710 LAKE CENTER DR., MOUNT DORA, FL 32757
(352) 383-1268
(352) 385-3199
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
12/02/2014
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