Organization
ORANGE BLOSSOM SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REUT BARDACH MD (OWNER)
(727) 846-7000
Entity
Organization
Contact information
Practice address
2043 LITTLE RD, TRINITY, FL 34655-4421
(727) 999-3322
(727) 440-8211
Mailing address
2043 LITTLE RD, TRINITY, FL 34655-4421
(727) 999-3322
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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