Organization
PUMPKIN PATCH AMBULATORY SURGICAL CENTER, LLC
Active
Other names
Orlando Avenue Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL A LOY MD (PHYSICIAN/OWNER)
(407) 740-0909
Entity
Organization
Contact information
Practice address
1500 S ORLANDO AVE, WINTER PARK, FL 32789-5500
(407) 740-0909
(407) 756-1605
Mailing address
1500 S ORLANDO AVE STE 100, WINTER PARK, FL 32789-5500
(407) 740-0909
(407) 821-3489
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
04/17/2024
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