Organization · Type 2 NPI

Surgery Center of Mount Dora, LLC

Ambulatory Surgical Clinic/Center · Mount Dora, FL

NPI number 1164656740 Active

Practice location

3710 Lake Center Dr.
Mount Dora, FL 32757

Fax (352) 385-3199

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1164656740

Surgery Center of Mount Dora, LLC's National Provider Identifier is 1164656740, issued on May 11, 2009. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Mount Dora, FL. The record was last updated on Dec 2, 2014.