Organization
OSLER MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L;AURIE DEBORAH BRITT (CREDENTIALING COORDINATOR)
(321) 725-5050
Entity
Organization
Contact information
Practice address
930 S HARBOR CITY BLVD, MELBOURNE, FL 32901-1963
(321) 725-5050
(321) 725-9100
Mailing address
930 S HARBOR CITY BLVD, MELBOURNE, FL 32901-1963
(321) 725-5050
(321) 725-9100
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
PO01949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0884270001
PGBA SUPPLIER NUMBER
FL
Enumeration date
08/07/2007
Last updated
03/11/2009
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