AMBULATORY SURGERY CENTER SUPPORT SERVICES
Organization (NPI-2)
Active
Anesthesiology
Provider Information
- NPI Number
1902857642- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 719 E NEW HAVEN AVE, MELBOURNE, FL, 329015459
- Phone
- (321) 984-4405
- Fax
- (321) 984-9547
Specialties & Taxonomies
Anesthesiology
Primary License: FL #19959