Organization
ORLANDO SURGERY CENTER, LLC
Active
Other names
ORLANDO SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN LESLIE DIEDRICH MPA (BOARD MEMBER)
(321) 841-8199
Entity
Organization
Contact information
Practice address
3435 PINEHURST AVE, ORLANDO, FL 32804-4049
(321) 841-8199
Mailing address
65 STURTEVANT ST # MP162, ORLANDO, FL 32806-2016
(321) 841-8199
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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