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Organization
LE SAGE SURGICAL LLC
Active
Organization
LE SAGE SURGICAL LLC
Active
Other names
Le Sage Surgical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEROLD LESSAGE PA-C (OWNER)
(917) 482-0465
Entity
Organization
Contact information
Practice address
2600 DOVEHILL WAY, OVIEDO, FL 32766-7070
(917) 482-0465
Mailing address
2600 DOVEHILL WAY, OVIEDO, FL 32766-7070
(917) 482-0465
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9103480
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9103480
PHYSICIAN ASSISTANT
FL
Enumeration date
08/17/2017
Last updated
07/21/2022
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