Blackstone Hand Center, LLC
Orthopaedic Surgery, Hand Surgery in Melbourne, FL. Organization (NPI-2).
NPI number1568869113
StatusActive
Last updated in NPPESOct 21, 2021
Details
- NPI
- 1568869113
- Entity type
- Organization (NPI-2)
- Legal business name
- Blackstone Hand Center, LLC
- Organization subpart
- No
- Enumeration date
- Nov 25, 2014
- Certification date
- Oct 21, 2021
- Last updated
- Oct 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery, Hand Surgery | ME113873 | FL | Yes |
Other names
- Melbourne Hand Center (Doing Business As)
Practice location
2010 West Eau Gallie BlvdSuite 104
Melbourne, FL 32935
Phone 305-609-7688
Mailing address
2010 West Eau Gallie BlvdSuite 104
Melbourne, FL 32935
Phone 305-609-7688
Authorized official
Kyle Joseph Moyles
Owner
3215004263
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