Organization
SPACE COAST PATHOLOGISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL SMEDBERG MD (PRESIDENT)
(321) 953-4804
Entity
Organization
Contact information
Practice address
1350 S HICKORY ST, MELBOURNE, FL 32901-3224
(321) 953-4804
(321) 728-7176
Mailing address
1855 W HIBISCUS BLVD, MELBOURNE, FL 32901-2622
(321) 953-4804
(321) 728-7176
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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