Organization
PHYSICIAN ASSISTANT SERVICES OF FLORIDA LLC
Active
Organization
PHYSICIAN ASSISTANT SERVICES OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES HAMILTON BOONE PA-C (OWNER)
(321) 409-8941
Entity
Organization
Contact information
Practice address
301 E HIBISCUS BLVD, MELBOURNE, FL 32901-3105
(321) 409-8941
(321) 409-9392
Mailing address
PO BOX 1261, MELBOURNE, FL 32902-1261
(321) 409-8941
(321) 409-9392
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3525
FL
Other
Enumeration date
11/08/2006
Last updated
04/20/2008
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