Organization
JOHN J BOMALASKI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J BOMALASKI MD (OWNER)
(321) 434-4656
Entity
Organization
Contact information
Practice address
7000 SPYGLASS CT, SUITE 300, MELBOURNE, FL 32940-8288
(321) 752-0944
(321) 752-0756
Mailing address
PO BOX 560730, ROCKLEDGE, FL 32956-0730
(321) 752-0944
(321) 752-0756
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
02/09/2006
Last updated
08/22/2020
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