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1575 Sarno Rd Melbourne FL 32935-5209 | |
(321) 409-0021 | |
(321) 676-8425 |
Full Name | |
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Speciality | Clinic/center |
Location | 1575 Sarno Rd, Melbourne, Florida |
Authorized Official Name and Position | Oluwaseun Awobusuyi (MANAGER) |
Authorized Official Contact | 3214090021 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1575 Sarno Rd Melbourne FL 32935-5209 Ph: (321) 409-0021 | 1575 Sarno Rd Melbourne FL 32935-5209 Ph: (321) 409-0021 |
NPI Number | 1134408743 |
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Provider Enumeration Date | 08/12/2011 |
Last Update Date | 12/16/2024 |
Identifier | Type | State | Issuer |
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1134408743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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