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Organization
ORANGE AVENUE SURGICAL SUITE, LLC
Active
Organization
ORANGE AVENUE SURGICAL SUITE, LLC
Active
Other names
OASIS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE HAYNES POPE SR. MD (MEDICAL DIRECTOR)
(407) 857-6261
Entity
Organization
Contact information
Practice address
3872 OAKWATER CIR, ORLANDO, FL 32806-6263
(407) 857-6261
(407) 857-6241
Mailing address
3872 OAKWATER CIR, ORLANDO, FL 32806-6263
(407) 857-6261
(407) 857-6241
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSR #567
FL
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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