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General NPI Number Information
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NPI Number | 1588534325
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Entity Type | Organization
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Legal Business Name | SURGICAL ADVISORY SERVICE INC
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 901 N LAKE DESTINY RD STE 310
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City | MAITLAND
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State | FL
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Zip | 32751-4844
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Country | US
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Telephone | 833-944-7930
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Fax |
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Provider Business Mailing Address
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Address Line | 901 N LAKE DESTINY RD STE 310
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City | MAITLAND
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State | FL
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Zip | 32751-4844
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Country | US
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Telephone | 833-944-7930
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. BROOKS HEMINGER
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Credential | DR
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Telephone | 833-944-7930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101200000X
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Taxonomy Name | Drama Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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