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: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1116 E PLANT ST
WINTER GARDEN FL
34787-2942
US

IV. Provider business mailing address

8865 COMMODITY CIR STE 14-103
ORLANDO FL
32819-9056
US

V. Phone/Fax

Practice location:
  • Phone: 407-734-1921
  • 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