Individual
ANGEL G ELIZECHEA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
1600 SARNO RD, SUITE 15, MELBOURNE, FL 32935-4938
(800) 348-4565
(888) 468-6511
Mailing address
3100 W END AVE, SUITE 800, NASHVILLE, TN 37203-1320
(615) 345-5400
(888) 468-6511
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
09239
FL
Other
Enumeration date
09/24/2009
Last updated
09/16/2016
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