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1760622526
SPACE COAST SURGERY LLC
MELBOURNE, FL
NPI
1760622526
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Entity Type
Organization
Authorized Contact
CHINMAY S. MAJMUNDAR
Physcian/Owner
321-242-7060
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: FL ME 96869)
Enumeration Date
2009-03-05
Last Update Date
2014-08-26
Business Address
SPACE COAST SURGERY LLC
8255 N WICKHAM RD SUITE 102
MELBOURNE, FL 32940-8202
Phone number: 321-242-7060
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Mailing Address
SPACE COAST SURGERY LLC
8255 N WICKHAM RD SUITE 102
MELBOURNE, FL 32940-8202
Phone number: 321-242-7060
Copy
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