Orange Blossom Surgical Associates

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

ORANGE BLOSSOM SURGICAL ASSOCIATES

Practice address

2043 Little Rd
Trinity, FL 34655-4421

Phone

(727) 999-3322

Fax

(727) 440-8211

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reut Bardach, MDNPI 1780950527

Title

Owner

Phone

(727) 846-7000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reut Bardach, M,D.

  • Obstetrics & Gynecology Physician
  • Trinity, FL
  • NPI 1780950527
  Authorized official Same address or phone

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1437630530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-999-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-999-3322",
            "fax_number": "727-440-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE BLOSSOM SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "BARDACH",
        "authorized_official_first_name": "REUT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-846-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• OB Hospitalist Group LLC
• Hannan Odeh, MD
• Odessa Capital LLC (allurehealth)
• Holly On, APRN-BC
• Optimal Performance and Physical Therapies Trinity LLC
• Orange Blossom Women's Group PLLC
• Orthopaedic Associates of West Florida, PA
• Juan Otheguy, MD
• Daryl Noel Otiniano, APRN
• Christine Ozarchuk

• Surgical Physician Assistant in Trinity, FL
• Providers in Trinity, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.