Organization
MOUNT DORA OPHTHALMOLOGY ASC LLC
Active
Other names
Mid Florida Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
17564 US HIGHWAY 441, MOUNT DORA, FL 32757-6711
(352) 735-4100
(352) 735-2444
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079101600
—
FL
Enumeration date
02/07/2006
Last updated
10/31/2022
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