NPI 1154952075

Orlando Mogollon, SAC

Practitioner Surgical Assistant Lakeland, FL

Practice location

Address: 4560 Williamstown Blvd, Lakeland, FL 33810-2738
Phone: (407) 535-0055

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 16-461

Other Specialist/Technologist, Other providers in Florida →

Registry record

NPI: 1154952075
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2020
Record last updated: 29 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.