Surgery Center of Mount Dora, LLC
NPI #1164656740 in Mount Dora, Florida
Provider Information
- NPI Number
- 1164656740
- Entity Type
- Organization
- Organization Name
- Surgery Center of Mount Dora, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 11, 2009
- Last Updated
- Dec 2, 2014
Practice Location
- Address
- 3710 LAKE CENTER DR.
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757
- Phone
- (352) 383-1268
Authorized Official
- Name
- MR. JUAN USON
- Title
- ADMINISTRATOR
- Phone
- (352) 383-1268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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