PUMPKIN PATCH AMBULATORY SURGICAL CENTER LLC NPI 1295258416

NPI Information

  • NPI: 1295258416
  • Provider Name: PUMPKIN PATCH AMBULATORY SURGICAL CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: ORLANDO AVENUE SURGERY CENTER, LLC
  • CLIA Number: 10D2134561
  • Address: 1500 S ORLANDO AVE
    WINTER PARK, FL
    ZIP 32789
  • Phone: (407) 740-0909

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NPI Details

PUMPKIN PATCH AMBULATORY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Winter Park, FL. PUMPKIN PATCH AMBULATORY SURGICAL CENTER, LLC NPI is 1295258416. The provider is registered as an organization entity type.
The provider Is Doing Business As Orlando Avenue Surgery Center, Llc.

The provider's business location address is:

1500 S ORLANDO AVE
WINTER PARK, FL
ZIP 32789-500
Phone: (407) 740-0909
Fax: (407) 756-1605

The provider's authorized official is Randall A Loy .
The authorized official title is Physician/owner and has the following contact phone number (407) 740-0909.

The CLIA number assigned to this NPI record is 10D2134561 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 4/17/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

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This page was last updated on: 11/21/2025

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