Organization
MELBOURNE ASC LP
Active
Other names
The Surgery Center of Melbourne
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A. CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1401 S APOLLO BLVD, SUITE B, MELBOURNE, FL 32901-3179
(321) 725-5151
(321) 725-5157
Mailing address
1401 S APOLLO BLVD, SUITE B, MELBOURNE, FL 32901-3179
(321) 725-5151
(321) 725-5157
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/30/2009
Last updated
09/07/2023
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