| Palm Bay Anesthesia, Inc | |
|
1051 Hickory St Melbourne FL 32901-1962 | |
| (321) 784-3700 | |
| (321) 784-4090 |
| Full Name | Palm Bay Anesthesia, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1051 Hickory St, Melbourne, Florida |
| Authorized Official Name and Position | Mark Vandenbosch (OWNER) |
| Authorized Official Contact | 3217843700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Bay Anesthesia, Inc Po Box 320129 Melbourne FL 32932 Ph: (321) 784-3700 | Palm Bay Anesthesia, Inc 1051 Hickory St Melbourne FL 32901-1962 Ph: (321) 784-3700 |
| NPI Number | 1780617738 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780617738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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