Organization
NASA SURGERY CENTER, LLC
Active
Other names
NASA Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEEP PATEL (CFO)
(321) 863-6985
Entity
Organization
Contact information
Practice address
1995 W NASA BLVD, MELBOURNE, FL 32904-2346
(321) 863-6985
Mailing address
1995 W NASA BLVD, MELBOURNE, FL 32904-2346
(321) 863-6985
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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