Organization Active NPI

Advanced Surgical Solutions, LLC

  • Health Maintenance Organization
  • Orlando, FL
National Provider Identifier
1609258532
Registry record updated Jun 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
ADVANCED SURGICAL SOLUTIONS, LLC
Practice address
22 Lake Beauty Dr
Orlando, FL 32806-2037
Phone
(407) 270-9682
Fax
(407) 270-9686
NPI assigned
Jun 27, 2015
Last updated
Jun 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2015

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

Authorized official

Name
Edwin Guevara
Title
Owner
Phone
(407) 270-9682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X FL Primary

Addresses

Primary practice location

22 Lake Beauty Dr
Orlando, FL 32806-2037

Mailing address

22 Lake Beauty Dr
Orlando, FL 32806-2037
Phone (407) 270-9682

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435363200000",
    "number": "1609258532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LAKE BEAUTY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062037",
            "telephone_number": "407-270-9682",
            "fax_number": "407-270-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LAKE BEAUTY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062037",
            "telephone_number": "407-270-9682",
            "fax_number": "407-270-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-06-27",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-270-9682"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; 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.