Organization
SPACE COAST ORTHOPAEDIC CENTER PL
Active
Other names
Space Coast Orthopaedic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANI H EL KOMMOS M.D. (PARTNER)
(321) 459-1446
Entity
Organization
Contact information
Practice address
220 N SYKES CREEK PKWY, SUITE 200, MERRITT ISLAND, FL 32953-3490
(321) 459-1446
(321) 456-5195
Mailing address
220 N SYKES CREEK PKWY, SUITE 200, MERRITT ISLAND, FL 32953-3490
(321) 459-1446
(321) 456-5195
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265066500
—
FL
Enumeration date
08/14/2006
Last updated
01/06/2014
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