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Organization

GENERAL & VASCULAR SURGICAL ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN W ROBERTSON MD (PRESIDENT)
(407) 833-9195
Entity
Organization

Contact information

Practice address
4106 W LAKE MARY BLVD, STE 330, LAKE MARY, FL 32746-3315
(407) 833-9195
Mailing address
4106 W LAKE MARY BLVD, STE 330, LAKE MARY, FL 32746-3315
(407) 833-9195

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
03/27/2007
Last updated
03/19/2008
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