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Contact Information

AUSTRALIAN GRAYLING SURGICAL SPECIALISTS LLC
700 W OAK ST
KISSIMMEE, FL34741-4924
 Phone: 469-401-2386
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for AUSTRALIAN GRAYLING SURGICAL SPECIALISTS LLC

NPI # 1033517172
LBN Legal business name AUSTRALIAN GRAYLING SURGICAL SPECIALISTS LLC
Authorized official KATHY KONDAS - (OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2014
Last updated 04/20/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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