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
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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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.