| NPI | 1790442895 |
|---|---|
| Doing Business As | ORANGE AVENUE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JAN DIEDRICH Vice President 321-841-8199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-24 |