Provider Demographics
NPI:1467632430
Name:LAPAROSCOPIC & LASER SURGERY CENTER
Entity Type:Organization
Organization Name:LAPAROSCOPIC & LASER SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AJMAL
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-249-9898
Mailing Address - Street 1:7359 CURRY FORD RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-7930
Mailing Address - Country:US
Mailing Address - Phone:407-249-9898
Mailing Address - Fax:407-249-9881
Practice Address - Street 1:7359 CURRY FORD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-7930
Practice Address - Country:US
Practice Address - Phone:407-249-9898
Practice Address - Fax:407-249-9881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93140174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL28706AMedicare UPIN