Space Coast Surgical Center Ltd

NPI #1437112455 in Merritt Island, Florida

Provider Information

NPI Number
1437112455
Entity Type
Organization
Organization Name
Space Coast Surgical Center Ltd
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Apr 10, 2006
Last Updated
Mar 28, 2016

Practice Location

Address
220 N SYKES CREEK PKWY
Address 2
SUITE 101
State
Florida
ZIP Code
32953-3490
Phone
(321) 459-0015

Authorized Official

Name
CYNTHIA A JOHNSON
Title
ADMINISTRATOR
Phone
(321) 459-0015

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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