# ORANGE BLOSSOM SURGICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437630530
- **Authorized official:** REUT BARDACH MD (OWNER)
- **Authorized official phone:** (727) 846-7000

## Contact information

- **Practice address:** 2043 LITTLE RD, TRINITY, FL 34655-4421
- **Practice address phone:** (727) 999-3322
- **Practice address fax:** (727) 440-8211
- **Mailing address:** 2043 LITTLE RD, TRINITY, FL 34655-4421
- **Mailing address phone:** (727) 999-3322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2018
- **Last updated:** 08/27/2018