| Surgeons Of Central Florida Llc | |
|
755 Jay Bee Avenue Davenport FL 33897 | |
| (863) 286-0607 | |
| Not Available |
| Full Name | Surgeons Of Central Florida Llc |
|---|---|
| Speciality | Surgery |
| Location | 755 Jay Bee Avenue, Davenport, Florida |
| Authorized Official Name and Position | Russell Theodore Brown (OWNER) |
| Authorized Official Contact | 8632760607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgeons Of Central Florida Llc 755 Jay Bee Avenue Davenport FL 33897 Ph: (863) 286-0607 | Surgeons Of Central Florida Llc 755 Jay Bee Avenue Davenport FL 33897 Ph: (863) 286-0607 |
| NPI Number | 1013474063 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 04/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013474063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
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