Organization
SADI A ABUSRUR MD PLLC
Active
Other names
South Orange Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SADI A ABUSRUR MD (MEDICAL DIRECTOR)
(407) 704-8990
Entity
Organization
Contact information
Practice address
2116 S ORANGE AVE, SUITE B, ORLANDO, FL 32806-3037
(407) 704-8990
(407) 730-5936
Mailing address
2116 S ORANGE AVE, SUITE B, ORLANDO, FL 32806-3037
(407) 704-8990
(407) 730-5936
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME33741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912095258
TYPE 1 NPI
FL
Enumeration date
09/18/2012
Last updated
09/18/2012
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