Organization
ATLANTIC SURGERY AND LASER CENTER LLC
Active
Organization
ATLANTIC SURGERY AND LASER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOUKWOK FREDERICK HO M.D. (PRESIDENT)
(321) 757-7272
Entity
Organization
Contact information
Practice address
8040 N WICKHAM RD, MELBOURNE, FL 32940-8298
(321) 757-7272
(321) 757-7273
Mailing address
8040 N WICKHAM RD, MELBOURNE, FL 32940-8298
(321) 757-7272
(321) 757-7273
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
ME0050741
FL
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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