RIVERSIDE SURGICAL AND WEIGHT LOSS CENTER,LLC

SEBASTIAN, FL
NPI1437397544
Entity TypeOrganization
Authorized ContactPATRICK W DOMKOWSKI
President
772-581-8003
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: FL  MD89469)
Enumeration Date2009-01-27
Last Update Date2009-05-07
Business Address
RIVERSIDE SURGICAL AND WEIGHT LOSS CENTER,LLC
705 SEBASTIAN BLVD SUITE D
SEBASTIAN, FL 32958-4397
Phone number: 772-581-8003
Mailing Address
RIVERSIDE SURGICAL AND WEIGHT LOSS CENTER,LLC
705 SEBASTIAN BLVD. SUITE D
SEBASTIAN, FL 32958
Phone number: 772-581-8003
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