| NPI | 1124092945 |
|---|---|
| Doing Business As | SPACE COAST ENDOSCOPY CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1229) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2022-11-01 |