Bsa LLC

Surgery Physician · Melbourne, FL

Organization Active NPI

NPI number 1851344063

Practice location

1140 Broadband Dr
Melbourne, FL 32901-2623
Phone
(321) 733-1901
Fax
(321) 733-0211

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NPI record

NPI
1851344063
Entity type
Organization (Type 2)
Enumeration date
May 18, 2006
Last updated
April 11, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X ME56101 FL

Mailing address

PO Box 33428
Indialantic, FL 32903-0428
Phone
(321) 733-1901
Fax
(321) 733-0211

Authorized official

Name
Emran Riaz Imami, M.D.
Title
Owner Physician
Phone
(321) 733-1901

Other names

  • Brevard Surgical Associates TEPAS Healthcare

About Bsa LLC

Bsa LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1140 Broadband Dr, Melbourne, FL 32901-2623. The NPI number 1851344063 was assigned on May 18, 2006 and the record was last updated on April 11, 2012.

Bsa LLC lists a license in the registry: #ME56101 (FL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Emran Riaz Imami, M.D., Owner Physician.

Frequently asked questions

What is the NPI number of Bsa LLC?

The NPI number is 1851344063.

What is the phone number of Bsa LLC?

The phone number listed for the practice location is (321) 733-1901.

Where is Bsa LLC located?

1140 Broadband Dr, Melbourne, FL 32901-2623.

What is the taxonomy code for Bsa LLC?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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