Organization
FLORIDA SURGICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY RAY CRYAR M.D. (PRESIDENT)
(407) 834-6965
Entity
Organization
Contact information
Practice address
661 E ALTAMONTE DR, SUITE 323, ALTAMONTE SPRINGS, FL 32701-5105
(407) 834-6965
(407) 834-0424
Mailing address
661 E ALTAMONTE DR, SUITE 323, ALTAMONTE SPRINGS, FL 32701-5105
(407) 834-6965
(407) 834-0424
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370052600
—
FL
Enumeration date
10/26/2005
Last updated
01/21/2010
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