Organization
EAST COAST SURGICAL SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TY SCRIVENS SFA (PRESIDENT)
(561) 244-9529
Entity
Organization
Contact information
Practice address
787 37TH ST, SUITE E170, VERO BEACH, FL 32960-7305
(561) 244-9529
(561) 244-1929
Mailing address
787 37TH ST, SUITE E170, VERO BEACH, FL 32960-7305
(561) 244-9529
(561) 244-1929
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
01/20/2013
Last updated
08/21/2014
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