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Organization

SAINNOVAL SURGICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY SAINNOVAL M.D. (MEMBER)
(863) 623-4486
Entity
Organization

Contact information

Practice address
105 NE 19TH DR, OKEECHOBEE, FL 34972-1933
(863) 623-4486
(863) 623-4487
Mailing address
105 NE 19TH DR, OKEECHOBEE, FL 34972-1933
(863) 623-4486
(863) 623-4487

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
112305
FL
208600000X
Surgery Physician
Primary
ME112305
FL

Other

Enumeration date
05/10/2012
Last updated
07/21/2022
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