Provider Demographics
NPI:1659705952
Name:CARUGNO OBGYN SURGICAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:CARUGNO OBGYN SURGICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARUGNO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-482-8892
Mailing Address - Street 1:1287 N SEMORAN BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-3530
Mailing Address - Country:US
Mailing Address - Phone:407-482-8892
Mailing Address - Fax:407-482-7983
Practice Address - Street 1:1287 N SEMORAN BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3530
Practice Address - Country:US
Practice Address - Phone:407-482-8892
Practice Address - Fax:407-482-7983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty