Space Coast Anesthesiology and Pain Medicine Pllc

NPI #1194193888 in Rockledge, Florida

Provider Information

NPI Number: 1194193888
Entity Type: Organization
Organization Name: Space Coast Anesthesiology and Pain Medicine Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: SPACE COAST ANESTHESIOLOGY AND PAIN MEDICINE PLLC
Primary Specialty: Anesthesiology
Enumeration Date: Sep 11, 2015
Last Updated: Sep 11, 2015

Practice Location

Address: 907 PREAKNESS PL
City: Rockledge
State: Florida
ZIP Code: 32955-6112
Phone: (321) 433-1166

Authorized Official

Name: DR. YALE R SMITH, M.D.
Title: PRESIDENT
Phone: (321) 433-1166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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