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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