Organization
CEREUS OSTEOPATHIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY JOY SELWACH DO MBA (SOLE MEMBER)
(954) 257-4262
Entity
Organization
Contact information
Practice address
870 N COCOA BLVD STE A, COCOA, FL 32922-7588
(321) 866-8847
(954) 351-8349
Mailing address
870 N COCOA BLVD STE A, COCOA, FL 32922-7588
(321) 866-8847
(954) 351-8349
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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