Organization
SPACE COAST NEUROSURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON SMITH DO (PRESIDENT)
(321) 704-0828
Entity
Organization
Contact information
Practice address
111 LONGWOOD AVE, ROCKLEDGE, FL 32955-2827
(321) 704-0828
Mailing address
111 LONGWOOD AVE, ROCKLEDGE, FL 32955-2827
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
03/11/2012
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