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Organization

OSLER MEDICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE D BRITT (CREDENTIALING COORDINATOR)
(321) 725-5050
Entity
Organization

Contact information

Practice address
2129 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904-3875
(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
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
10/04/2010
Last updated
10/04/2010
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