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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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