Organization
MANOOGIAN ORTHOPEDIC CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VREJ K MANOOGIAN D.O. (PRESIDENT)
(352) 483-5633
Entity
Organization
Contact information
Practice address
1945 BAY RD, MOUNT DORA, FL 32757
(352) 483-5633
(352) 483-5070
Mailing address
1945 BAY RD, MOUNT DORA, FL 32757-2105
(352) 483-5633
(352) 483-5070
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16714
BCBSFL SAMIR GURU, D.O.
FL
01
—
200041567
RAILROAD MEDICARE MANOOGI
FL
01
—
46883
BCBSFL VREJ MANOOGIAN, D.
FL
01
—
94957
BCBSFL GROUP
FL
01
—
DD9204
RAILROAD MEDICARE GROUP
FL
01
—
P00260225
RAILROAD MEDICARE GURU
FL
Enumeration date
08/29/2006
Last updated
02/19/2019
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