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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