| Asc Location | |
|
5191 Babcock St Ne Palm Bay FL 32905-4610 | |
| (321) 434-1919 | |
| Not Available |
| Full Name | Asc Location |
|---|---|
| Speciality | General Practice |
| Location | 5191 Babcock St Ne, Palm Bay, Florida |
| Authorized Official Name and Position | Lora Morse (VP PROFESSIONAL FEE SERVICES) |
| Authorized Official Contact | 3214346116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asc Location 3300 S Fiske Blvd Rockledge FL 32955-4306 Ph: (321) 434-5055 | Asc Location 5191 Babcock St Ne Palm Bay FL 32905-4610 Ph: (321) 434-1919 |
| NPI Number | 1972376911 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/16/2023 |
| Certification Date | 11/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972376911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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