Surgical Associates of Brevard LLC

NPI #1003144270 in Rockledge, Florida

Provider Information

NPI Number: 1003144270
Entity Type: Organization
Organization Name: Surgical Associates of Brevard LLC
Primary Specialty: Surgery
Enumeration Date: Nov 30, 2009
Last Updated: Sep 10, 2010

Practice Location

Address: 1004 BEVERLY DR
Address 2: SUITE A
City: Rockledge
State: Florida
ZIP Code: 32955-2851
Phone: (321) 637-2150

Authorized Official

Name: SANDI LAROCHE
Title: CREDENTIALING COORDINATOR
Phone: (321) 449-4168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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