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General NPI Number Information
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NPI Number | 1073461976
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Entity Type | Organization
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Legal Business Name | GREATER ORLANDO SURGICAL GROUP, LLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 4104 MILLENIA BLVD STE 111
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City | ORLANDO
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State | FL
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Zip | 32839-6422
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Country | US
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Telephone | 407-753-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 4104 MILLENIA BLVD STE 111
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City | ORLANDO
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State | FL
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Zip | 32839-6422
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NANCY KASTNER
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Credential |
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Telephone | 407-256-0933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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