Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambulatory Surgery Center Support Services

Organization Anesthesiology Physician · NPI 1902857642

Ambulatory Surgery Center Support Services is an Anesthesiology Physician in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

719 E New Haven Ave
Melbourne, FL 32901-5459
Phone: (321) 984-4405
Fax: (321) 984-9547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 19959 (FL)

Record details

NPI number1902857642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Broussard — President · (321) 727-2020
NPI enumeratedMay 15, 2006
Last updated in NPPESMay 22, 2008
Mailing address502 E New Haven Ave, Melbourne, FL 32901-5427

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