Organization · NPI-2

Beyond The Scope Orthopaedics And Sports Medicine

Orthopaedic Surgery, Sports Medicine · Melbourne, FL

NPI number1699355651
StatusActive
Last updated in NPPESAug 26, 2021

Details

NPI
1699355651
Entity type
Organization (NPI-2)
Legal business name
Beyond The Scope Orthopaedics And Sports Medicine
Organization subpart
No
Enumeration date
Apr 13, 2021
Certification date
Aug 26, 2021
Last updated
Aug 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XX0005X Orthopaedic Surgery, Sports Medicine––Yes

Practice location

200 E Hibiscus Blvd
Melbourne, FL 32901-3156

Phone 321-361-5550 · Fax 321-728-7553

Mailing address

200 E Hibiscus Blvd
Melbourne, FL 32901-3156

Phone 321-361-5550 · Fax 321-728-7553

Authorized official

John Andrew Palsis
Orthopaedic Surgeon
3213615550

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