Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Osceola Surgical Associates LLC

Organization Surgery Physician · NPI 1497425714

Osceola Surgical Associates LLC is a Surgery Physician in Sanford, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

305 N Mangoustine Ave Ste 100
Sanford, FL 32771-1004
Phone: (321) 283-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1497425714
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOsceola Surgical Associates LLC
Authorized official William Johnson — Vice President · (615) 372-3375
NPI enumeratedSeptember 17, 2021
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021
Mailing address2000 Health Park Dr, Brentwood, TN 37027-4692

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