Organization
CANCER CENTER OF MELBOURNE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WASFI A MAKAR M.D. (MEDICAL DIRECTOR)
(321) 960-1587
Entity
Organization
Contact information
Practice address
415 S. WICKHAM RD., MELBOURNE, FL 32904
(321) 821-2282
(321) 821-0666
Mailing address
415 S. WICKHAM RD., MELBOURNE, FL 32904
(321) 821-2282
(321) 821-0666
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
ME56764
FL
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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