Organization
SURGICALIST COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIT DESAI MD (CEO)
(407) 624-3062
Entity
Organization
Contact information
Practice address
200 N JOHN YOUNG PKWY, STE 203, KISSIMMEE, FL 34741-6601
(407) 624-3062
(407) 613-2223
Mailing address
200 N JOHN YOUNG PKWY, STE 203, KISSIMMEE, FL 34741-6601
(407) 624-3062
(407) 613-2223
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
11/16/2015
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