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MANOOGIAN ORTHOPEDIC CENTER P.A. NPI 1205945763


NPI Information

NPI: 1205945763
Provider Name: MANOOGIAN ORTHOPEDIC CENTER, P.A.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 10D2238487

Address:
1945 BAY RD
MOUNT DORA, FL
ZIP 32757
Phone: (352) 483-5633
Get Directions

MANOOGIAN ORTHOPEDIC CENTER, P.A. is an orthopaedic surgery in Mount Dora, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MANOOGIAN ORTHOPEDIC CENTER, P.A. NPI is 1205945763. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1945 BAY RD
MOUNT DORA, FL
ZIP 32757
Phone: (352) 483-5633
Fax: (352) 483-5070

The provider's authorized official is Vrej K Manoogian .
The authorized official title is President and has the following contact phone number (352) 483-5633.

The CLIA number assigned to this NPI record is 10D2238487 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 2/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200041567OTHERFLORIDARAILROAD MEDICARE MANOOGI
2DD9204OTHERFLORIDARAILROAD MEDICARE GROUP
346883OTHERFLORIDABCBSFL VREJ MANOOGIAN, D.
4P00260225OTHERFLORIDARAILROAD MEDICARE GURU
516714OTHERFLORIDABCBSFL SAMIR GURU, D.O.
694957OTHERFLORIDABCBSFL GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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