Organization
TAVARES SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOUNDARAPANDIAN BASKAR M.D. (MANAGING MEMBER)
(352) 636-3652
Entity
Organization
Contact information
Practice address
1878 MAYO DR, TAVARES, FL 32778-4308
(352) 508-5401
(877) 535-4708
Mailing address
1878 MAYO DR, TAVARES, FL 32778-4308
(352) 508-5401
(877) 535-4708
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
10/24/2024
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