AMBULATORY SURGERY CENTER SUPPORT SERVICES
Anesthesiologist Assistant at New Haven Ave, Melbourne, FL

License number
Florida 19959
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: DR. WILLIAM J BROUSSARD MD
Title: PRESIDENT
Phone: (321) 727-2020
Address
Address
719 E New Haven Ave, Melbourne, FL 32901
National Provider ID: 1902857642
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Ambulatory Surgery Center Support Services, Inc

Melbourne, FL

Industry:
Anesthesia Group
Registration:
Aug 14, 1991
Phone:
(321) 984-4405 (Phone)
Addresses:
502 E New Hvn Ave, Melbourne, FL 32901
719 E New Hvn Ave, Melbourne, FL 32901
State ID:
S74045
Business type:
Domestic for Profit Corporation
Principals:
Wm J. Broussard (President, Director),Ralph Paylor (Treasurer, Director, Secretary, Ophthalmology),L. Neal Freeman (Director, Vice President, Ophthalmology),...
Agent:
James H. Fallace
SIC:
8011 - Offices and Clinics of Doctors of Medicine

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