Organization
ADVANCED SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HADI ASSAD SHALHOUB D,O. (OWNER)
(772) 581-8900
Entity
Organization
Contact information
Practice address
13835 US HIGHWAY 1, SEBASTIAN, FL 32958-3232
(772) 581-8900
(772) 581-4478
Mailing address
3660 20TH ST, SUITE 2, VERO BEACH, FL 32960-2408
(772) 581-8900
(772) 581-4478
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OS 7619
FL
2086S0129X
Vascular Surgery Physician
Primary
OS 7619
FL
Other
Enumeration date
11/07/2007
Last updated
10/08/2008
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