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MELBOURNE ASC LP NPI 1255311635


NPI Information

NPI: 1255311635
Provider Name: MELBOURNE ASC LP

Doing Business As: THE SURGERY CENTER OF MELBOURNE

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1401 S APOLLO BLVD
SUITE B
MELBOURNE, FL
ZIP 32901
Phone: (321) 725-5151
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MELBOURNE ASC LP is an ambulatory surgical clinic center in Melbourne, FL. MELBOURNE ASC LP NPI is 1255311635. The provider is registered as an organization entity type.
The provider Is Doing Business As The Surgery Center Of Melbourne.

The provider's business location address is:

1401 S APOLLO BLVD
SUITE B
MELBOURNE, FL
ZIP 32901-179
Phone: (321) 725-5151
Fax: (321) 725-5157

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 10/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical1050FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1079230600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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