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Organization

CARDIOTHORACIC SURGICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ORMOND CHARLES MENDES M.D. (PRESIDENT)
(321) 768-2816
Entity
Organization

Contact information

Practice address
1601 S APOLLO BLVD, MELBOURNE, FL 32901-4484
(321) 768-2816
Mailing address
1601 S APOLLO BLVD, MELBOURNE, FL 32901-4484
(321) 768-2816

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Enumeration date
03/15/2007
Last updated
09/07/2011
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