| Organization Name: | APOLLO SURGERY CENTER LLC |
| NPI Number: | 1457502239 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAGED DOSS FARID (CEO) |
| Mailing Address: | 375 S Wickham Rd West Melbourne |
| State: | FL US |
| Postal Code: | 329041135 |
| Phone Number: | 3217269393 |
| Fax Number: | 3217269395 |
| NPI Enumeration Date: | 10/10/2008 |
| NPI Last Update Date: | 10/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 1306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |