Organization
AUSTRALIAN LUNGFISH SURGICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J BYRNE (OFFICER)
(877) 328-1119
Entity
Organization
Contact information
Practice address
1703 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1221
(877) 328-1119
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
(877) 328-1119
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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