Orange Avenue Surgical Suite, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSR #567 Issued in FL

Legal business name

ORANGE AVENUE SURGICAL SUITE, LLC

Practice address

3872 Oakwater Cir
Orlando, FL 32806-6263

Phone

(407) 857-6261

Fax

(407) 857-6241

NPI assigned

Oct 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George Haynes Pope Sr., MD

Title

Medical Director

Phone

(407) 857-6261

Specialties & licenses 1

Addresses

Other names 1

• OASIS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1194912337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066263",
            "telephone_number": "407-857-6261",
            "fax_number": "407-857-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3872 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066263",
            "telephone_number": "407-857-6261",
            "fax_number": "407-857-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE AVENUE SURGICAL SUITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "HAYNES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-857-6261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "OSR #567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OASIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orange Anesthesia Associates, Inc.
• Orange Ave Consulting
• Orange Avenue Dentistry, Inc.
• Orange Avenue Dentistry, PLLC
• Orange Avenue Surgery Center, LLC
• Orange Behavioral Health LLC
• Orange Blossom Injury, Health and Wellness, LLC
• Orange Counseling, PLLC
• Orange County Anesthesia Associates, LLC
• Orange County BCC

• Ambulatory Surgical Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.