Organization
SOUTH TITUSVILLE MEDICAL CENTER INC
Active
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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