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General NPI Number Information
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NPI Number | 1700725199
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Entity Type | Organization
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Legal Business Name | TUNIS SURGICAL LLC
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Dates
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Enumeration Date | 03/28/2026
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Last Update Date | 03/28/2026
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Provider Practice Location Address
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Address Line | 1116 E PLANT ST
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City | WINTER GARDEN
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State | FL
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Zip | 34787-2942
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Country | US
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Telephone | 407-734-1921
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Fax |
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Provider Business Mailing Address
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Address Line | 8865 COMMODITY CIR STE 14-103
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City | ORLANDO
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State | FL
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Zip | 32819-9056
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Country | US
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Telephone | 908-380-8127
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JESSICA ELIZABETH TUNIS
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Credential | DO
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Telephone | 908-380-8127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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