# BREVARD SURGICAL SOLUTIONS L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891085692
- **Authorized official:** MR. BRYAN KEITH STEWART PA-C (PRESIDENT)
- **Authorized official phone:** (407) 761-7340

## Contact information

- **Practice address:** 11302 NW 31ST RD, GAINESVILLE, FL 32606-6840
- **Practice address phone:** (407) 761-7340
- **Mailing address:** 11302 NW 31ST RD, GAINESVILLE, FL 32606-6840
- **Mailing address phone:** (407) 761-7340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA 9104639 | FL | Yes |

## Other

- **Enumeration date:** 04/13/2011
- **Last updated:** 04/13/2011