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Organization

SPACE COAST ANESTHESIOLOGY AND PAIN MEDICINE PLLC

Active
Parent organization
SPACE COAST ANESTHESIOLOGY AND PAIN MEDICINE PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPACE COAST ANESTHESIOLOGY AND PAIN MEDICINE PLLC
Authorized official
DR. YALE R SMITH M.D. (PRESIDENT)
(321) 433-1166
Entity
Organization

Contact information

Practice address
907 PREAKNESS PL, ROCKLEDGE, FL 32955-6112
(321) 433-1166
(321) 433-1166
Mailing address
907 PREAKNESS PL, ROCKLEDGE, FL 32955-6112
(321) 433-1166
(321) 433-1166

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME80599
FL

Other

Enumeration date
09/11/2015
Last updated
09/11/2015
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