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1922404441
SPACE COAST SURGICAL ASSISTING LLC
MELBOURNE, FL
NPI
1922404441
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Entity Type
Organization
Authorized Contact
MICHAEL A DANCY
Mgr
321-890-2022
Organization Subpart ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
Enumeration Date
2014-11-11
Last Update Date
2014-11-11
Business Address
SPACE COAST SURGICAL ASSISTING LLC
749 MCDERMOTT AVE
MELBOURNE, FL 32935-3038
Phone number: 321-890-2022
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Mailing Address
SPACE COAST SURGICAL ASSISTING LLC
1270 N WICKHAM RD STE 16-422
MELBOURNE, FL 32935-8923
Phone number: 321-890-2022
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