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Organization

SOUTH TITUSVILLE MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES A SLATTERY M.D. (OWNER/CEO)
(321) 264-2100
Entity
Organization

Contact information

Practice address
7455 S US HIGHWAY 1, TITUSVILLE, FL 32780-8115
(321) 264-2100
(321) 264-2485
Mailing address
7455 S US HIGHWAY 1, TITUSVILLE, FL 32780-8115
(321) 264-2100
(321) 264-2485

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME0051997
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
062108100
FL
Enumeration date
06/13/2006
Last updated
10/22/2014
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