Organization
ANESTHESIA SERVICES OF BREVARD
Active
Organization
ANESTHESIA SERVICES OF BREVARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE M MACDONALD CRNA (PRESIDENT)
(321) 243-9309
Entity
Organization
Contact information
Practice address
315 E NASA BLVD, MELBOURNE, FL 32901-1939
(321) 773-7303
(321) 773-7239
Mailing address
PO BOX 372311, SATELLITE BEACH, FL 32937-0311
(321) 773-7303
(321) 773-7239
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
01/15/2008
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