SPACE COAST SURGICAL ASSISTING LLC

MELBOURNE, FL
NPI1922404441
Entity TypeOrganization
Authorized ContactMICHAEL A DANCY
Mgr
321-890-2022
Organization Subpart ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2014-11-11
Last Update Date2014-11-11
Business Address
SPACE COAST SURGICAL ASSISTING LLC
749 MCDERMOTT AVE
MELBOURNE, FL 32935-3038
Phone number: 321-890-2022
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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