Healthcare Provider Details

I. General information

NPI: 1700725199
Provider Name (Legal Business Name): TUNIS SURGICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7984 FOREST CITY RD STE 105
ORLANDO FL
32810-2907
US

IV. Provider business mailing address

7984 FOREST CITY RD STE 105
ORLANDO FL
32810-2907
US

V. Phone/Fax

Practice location:
  • Phone: 407-504-2859
  • Fax:
Mailing address:
  • Phone: 407-504-2859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JESSICA ELIZABETH TUNIS
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 407-734-1921