Organization
MODESTO SURGICAL INC
Active
Organization
MODESTO SURGICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR LUIS MODESTO MD (OWNER)
(407) 273-2525
Entity
Organization
Contact information
Practice address
7806 LAKE UNDERHILL RD, SUITE 106, ORLANDO, FL 32822
(407) 273-2525
(407) 273-2624
Mailing address
7806 LAKE UNDERHILL RD, SUITE 106, ORLANDO, FL 32822
(407) 273-2525
(407) 273-2624
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
12/11/2007
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