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Organization
SURGERY CENTER OF VIERA LLC
Active
Organization
SURGERY CENTER OF VIERA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARA JASON DEUKMEDJIAN M.D. (OWNER)
(321) 751-8700
Entity
Organization
Contact information
Practice address
7955 SPYGLASS HILL RD STE B, MELBOURNE, FL 32940-8249
(321) 751-8700
(321) 775-1364
Mailing address
7955 SPYGLASS HILL RD STE B, MELBOURNE, FL 32940-8249
(321) 751-8700
(321) 775-1364
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5880893
AETNA
FL
01
—
6ER
BCBSFL
FL
01
—
P01410964
RAILROAD MCARE
FL
Enumeration date
12/05/2013
Last updated
03/17/2022
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