EYE INSTITUTE SURGERY CENTER, LLC
Ambulatory Health at Nasa Blvd, Melbourne, FL

License number
Florida 1223
Category
Ambulatory Health
Type
Clinic/Center
License number
Florida 1223
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. JERRY ORLOFF
Title: CEO
Phone: (321) 722-4443
Address
Address
1995 W Nasa Blvd, Melbourne, FL 32904
National Provider ID: 1548274061
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EYE INSTITUTE SURGERY CENTER, LLC

1995 W Nasa Blvd SUITE 100, Melbourne, FL 32904

Registration:
Oct 20, 2003
State ID:
L03000040195
Business type:
Florida Limited Liability Company
Managers:
Md Mcmanus, 1995 W Nasa Blvd, Melbourne, FL 32904 (Physical),Md Ganiban, 1995 W Nasa Blvd, Melbourne, FL 32904 (Physical),Jerome Orloff (CEO, Chairman), 1995 W Nasa Blvd, Melbourne, FL 32904 (Physical),...
Agent:
Orloff, Jerome,1995 W Nasa Blvd SUITE 200, Melbourne, FL 32904 (Physical)
EIN:
200314591

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