Registry details
Type
Organization
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 18, 2014
License(s)
ME110378 (FL), ME110378 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 640 CLASSIC CT STE 104 | Melbourne, FL 32940-8279 | 321-610-8939 |
| MAILING | 640 CLASSIC CT STE 104 | Melbourne, FL 32940-8279 | 321-610-8939 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.