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Organization
PUMPKIN PATCH AMBULATORY SURGICAL CENTER, LLC
Active
Organization
PUMPKIN PATCH AMBULATORY SURGICAL CENTER, LLC
Active
Other names
Orlando Avenue Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL A LOY MD (PHYSICIAN/OWNER)
(407) 740-0909
Entity
Organization
Contact information
Practice address
1500 S ORLANDO AVE, WINTER PARK, FL 32789-5500
(407) 740-0909
(407) 756-1605
Mailing address
1500 S ORLANDO AVE STE 100, WINTER PARK, FL 32789-5500
(407) 740-0909
(407) 821-3489
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
04/17/2024
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