Ambulatory Surgery Center Support Services

LBN: Ambulatory Surgery Center Support Services
Ambulatory Surgery Center Support Services is an health care organization with primary practice located at 719 E New Haven Ave , Melbourne FL 32901-5459. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Ambulatory Surgery Center Support Services can be contacted via phone (321) 984-4405, or through Broussard, William J via phone (321) 727-2020.

Contact Information

Primary practice address
719 E New Haven Ave Melbourne FL 32901-5459
Phone: (321) 984-4405
Fax: (321) 984-9547
Website:
Map and Directions
Authorized official contact:
Name: Broussard, William J Doctor of Medicine (MD)
Phone: (321) 727-2020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 19959 Florida

Profile Details

NPI number 1902857642
LBN Legal business name Ambulatory Surgery Center Support Services
DBA Doing business as
Authorized official Broussard, William J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated May 22nd, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902857642 NPPES
Florida MEDICAID 259253300

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