Organization
OSCEOLA SURGICAL ASSOCIATES LLC
Active
Parent organization
OSCEOLA SURGICAL ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSCEOLA SURGICAL ASSOCIATES LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
305 N MANGOUSTINE AVE STE 100, SANFORD, FL 32771-1004
(321) 283-2100
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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