Organization
PALM BAY ANESTHESIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK VANDENBOSCH MD (OWNER)
(321) 784-3700
Entity
Organization
Contact information
Practice address
1051 HICKORY ST, MELBOURNE, FL 32901-1962
(321) 784-3700
(321) 784-4090
Mailing address
PO BOX 320129, MELBOURNE, FL 32932
(321) 784-3700
(321) 784-4090
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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