Organization
SURGERY CENTER OF VIERA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARA JASON DEUKMEDJIAN M.D. (OWNER)
(321) 751-8700
Entity
Organization
Contact information
Practice address
7955 SPYGLASS HILL RD STE B, MELBOURNE, FL 32940-8249
(321) 751-8700
(321) 775-1364
Mailing address
7955 SPYGLASS HILL RD STE B, MELBOURNE, FL 32940-8249
(321) 751-8700
(321) 775-1364
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5880893
AETNA
FL
01
—
6ER
BCBSFL
FL
01
—
P01410964
RAILROAD MCARE
FL
Enumeration date
12/05/2013
Last updated
03/17/2022
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