Organization
GM SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CAVANAUGH (BILLING MANAGER)
(386) 283-5668
Entity
Organization
Contact information
Practice address
120 TUSCANY BEND ST, DAYTONA BEACH, FL 32117-5545
(386) 283-5668
(386) 283-5670
Mailing address
120 TUSCANY BEND ST, DAYTONA BEACH, FL 32117-5545
(386) 283-5668
(386) 283-5670
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN9287320
FL
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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