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
3438 LAWTON RD STE 2D, ORLANDO, FL 32803-2948
(407) 751-2868
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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