Organization · Type 2 NPI

Space Coast Surgical Assisting LLC

Surgical Physician Assistant · Melbourne, FL

NPI number 1922404441 Active

Practice location

749 Mcdermott Ave
Melbourne, FL 32935-3038

Mailing address

1270 N Wickham Rd Ste 16-422
Melbourne, FL 32935-8923

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1922404441

Space Coast Surgical Assisting LLC's National Provider Identifier is 1922404441, issued on Nov 11, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Melbourne, FL. The record was last updated on Nov 11, 2014.