Organization
ORANGE AVENUE SURGERY CENTER, LLC
Active
Other names
Orange Avenue Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JAN DIEDRICH (VICE PRESIDENT)
(321) 841-8199
Entity
Organization
Contact information
Practice address
1405 S ORANGE AVE STE 102, ORLANDO, FL 32806-2147
(321) 228-6700
Mailing address
1405 S ORANGE AVE STE 102, ORLANDO, FL 32806-2147
(321) 228-6700
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/20/2025
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