Organization
SUPERIOR SURGICAL PA'S OF FL,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANALYER GISPERT MEDINA CSFA (CERTIFIED SURGICAL ASSISTANT/OWNER)
(321) 442-2454
Entity
Organization
Contact information
Practice address
4220 LUGANO CT, KISSIMMEE, FL 34746-3434
(321) 442-2454
(407) 386-3006
Mailing address
4220 LUGANO CT, KISSIMMEE, FL 34746-3434
(132) 144-2245
(407) 386-3006
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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