| NPI | 1164473922 |
|---|---|
| Doing Business As | ASC OF BREVARD |
| Entity Type | Organization |
| Authorized Contact | DAVID S WEISER President 321-727-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 800009870) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2023-07-19 |