Intracoastal Surgery Center, Llc

LBN: Intracoastal Surgery Center, Llc
Intracoastal Surgery Center, Llc is an health care organization with primary practice located at 2200 W Eau Gallie Blvd Ste 100 , Melbourne FL 32935-3166. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Intracoastal Surgery Center, Llc can be contacted via phone (321) 795-6095, or through Wheeler, John via phone (321) 610-3460.

Contact Information

Primary practice address
2200 W Eau Gallie Blvd Ste 100 Melbourne FL 32935-3166
Phone: (321) 795-6095
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wheeler, John Registered Nurse (RN)
Phone: (321) 610-3460

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1326527680
LBN Legal business name Intracoastal Surgery Center, Llc
DBA Doing business as
Authorized official Wheeler, John Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2018
Last updated Mar 20th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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