Organization
MELBOURNE MEDICINE & SURGERY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M GAYDEN JR. MD (PRESIDENT)
(321) 723-3113
Entity
Organization
Contact information
Practice address
1251 HICKORY ST STE A, MELBOURNE, FL 32901-3221
(321) 723-3113
(321) 768-0491
Mailing address
1251 HICKORY ST STE A, MELBOURNE, FL 32901-3221
(321) 723-3113
(321) 768-0491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME46431
FL
Other
Enumeration date
02/16/2007
Last updated
07/16/2007
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