Provider Demographics
NPI:1376185876
Name:RINEHART ROAD SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:RINEHART ROAD SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:P
Authorized Official - Last Name:OHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-843-2355
Mailing Address - Street 1:1414 KUHL AVENUE
Mailing Address - Street 2:MP 62
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806
Mailing Address - Country:US
Mailing Address - Phone:321-841-8199
Mailing Address - Fax:
Practice Address - Street 1:392 RINEHART ROAD
Practice Address - Street 2:SUITE 1100
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:321-841-8199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical