Organization
SPACE COAST SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINMAY S. MAJMUNDAR M.D. (PHYSCIAN/OWNER)
(321) 242-7060
Entity
Organization
Contact information
Practice address
8255 N WICKHAM RD, SUITE 102, MELBOURNE, FL 32940-8202
(321) 242-7060
(321) 242-6050
Mailing address
8255 N WICKHAM RD, SUITE 102, MELBOURNE, FL 32940-8202
(321) 242-7060
(321) 242-6050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 96869
FL
Other
Enumeration date
03/05/2009
Last updated
08/26/2014
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