| NPI | 1851344063 |
|---|---|
| Doing Business As | BREVARD SURGICAL ASSOCIATES TEPAS HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | EMRAN RIAZ IMAMI Owner Physician 321-733-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME56101) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-04-11 |