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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