Organization
OSCEOLA SURGICAL ASSOCIATES LLC
Active
Parent organization
OSCEOLA SURGICAL ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSCEOLA SURGICAL ASSOCIATES LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
720 W OAK ST STE 370, KISSIMMEE, FL 34741-4910
(407) 487-8333
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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