Organization
PRECISION LITHOTRIPSY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT MASON BAUGHAN (CHIEF FINANCIAL OFFICER)
(321) 403-4078
Entity
Organization
Contact information
Practice address
3490 N US HIGHWAY 1, COCOA, FL 32926-8724
(321) 636-0535
(321) 636-1975
Mailing address
PO BOX 237592, COCOA, FL 32923-7592
(321) 636-0535
(321) 636-1975
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
05/14/2012
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