Organization
OSCEOLA SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOHANNASSEN (OPS VP)
(407) 870-0808
Entity
Organization
Contact information
Practice address
900 W MAGNOLIA ST, KISSIMMEE, FL 34741-4117
(407) 870-0808
(407) 870-9128
Mailing address
900 W MAGNOLIA ST, KISSIMMEE, FL 34741-4117
(407) 870-0808
(407) 870-9128
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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