Organization
SURGICAL GROUP OF GAINESVILLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANAGIOTIS SARANTOS MD (PRESIDENT)
(352) 331-1201
Entity
Organization
Contact information
Practice address
1143 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 331-1201
(352) 331-5273
Mailing address
1143 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 331-1201
(352) 331-5273
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0060950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253318901
—
FL
Enumeration date
08/23/2005
Last updated
04/25/2012
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