MEDICAL ASSOCIATES OF BREVARD LLC (NPI# 1053689810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053689810 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES OF BREVARD LLC |
| Practice Address |
1301 W Eau Gallie Blvd Ste 108 Melbourne FL 32935-5390 |
| Mailing Address |
Po Box 361095 Melbourne FL 32936-1095 |
| Practice Telephone | 3216228730 |
| Practice Fax Number | 3216228732 |
| Mailing Telephone | 3212532900 |
| Mailing Fax Number | 3214350100 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | GERARD BESSETTE (ADMINISTRATOR) |
| Authorized Official Telephone | 3212532900 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL ASSOCIATES OF BREVARD LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
ME 70320 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770821688 | Medical Associates of Brevard LLC | Clinic/Center | 6080 S. Babcock St. Se, Palm Bay, FL 32909-3921 | 2013-01-28 |
| 1639189251 | Medical Associates of Brevard LLC | Clinic/Center | 901 Jordan Blass Dr, Suite 103, Melbourne, FL 32940-1824 | 2006-08-08 |
| 1679582605 | Medical Associates of Brevard LLC | Clinic/Center | 580 N Wickham Rd, Suite A, Melbourne, FL 32935-8400 | 2006-08-07 |
| 1992128508 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3133 | 2014-02-03 |
| 1538582366 | Medical Associates of Brevard LLC | Clinic/Center | 575 S Wickham Rd, Suite A, West Melbourne, FL 32904-1170 | 2014-01-30 |
| 1639592561 | Medical Associates of Brevard LLC | Clinic/Center | 575 S Wickham Rd, Suite A, Melbourne, FL 32904-1170 | 2014-01-29 |
| 1942570098 | Medical Associates of Brevard LLC | Internal Medicine | 8045 Spyglass Hill Road, Suite 102, Melbourne, FL 32940-8567 | 2012-01-06 |
| 1538476726 | Medical Associates of Brevard LLC | Obstetrics & Gynecology | 304 S Harbor City Blvd, Suite 101, Melbourne, FL 32901-1382 | 2010-09-09 |
| 1689987596 | Medical Associates of Brevard LLC | Internal Medicine | 397 N Wickham Rd, Suite 101, Melbourne, FL 32935-8669 | 2010-07-20 |
| 1932330743 | Medical Associates of Brevard LLC | Clinic/Center | 2186 Harris Ave Ne, Suite 2, Palm Bay, FL 32905-4044 | 2009-07-29 |
| Street Address |
1301 W EAU GALLIE BLVD STE 108 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-5390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528008190 | Zaw Htay | Internal Medicine | 1301 W Eau Gallie Blvd Ste 108, Melbourne, FL 32935-5390 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992054589 | Natalia Alexeevna Shcherbinina | Internal Medicine | 1600 W. Eau Gallie Blvd. Suite 205a, Melbourne, FL 32935 | 2012-08-29 |
| 1003010679 | Summer Pal Singh Kahlon | Internal Medicine | 300 Michigan Avenue, Melbourne, FL 32901 | 2007-06-14 |
| 1528008190 | Zaw Htay | Internal Medicine | 1301 W Eau Gallie Blvd Ste 108, Melbourne, FL 32935-5390 | 2006-06-08 |
| 1992790851 | Miguel Mateos-mora | Internal Medicine | 445 Pineda Ct, Melbourne, FL 32940-7536 | 2005-09-16 |
| 1467445031 | Anthony J. Barile | Internal Medicine | 205 E Nasa Blvd, Suite 200, Melbourne, FL 32901 | 2005-08-29 |
| 1356570782 | Katie Fillion | Internal Medicine | 1495 N Harbor City Blvd, Melbourne, FL 32935-6572 | 2009-07-07 |
| 1639323041 | Srinivas Dontineni Md Pa | Internal Medicine | 2800 Aurora Rd Ste F, Melbourne, FL 32935-2015 | 2008-11-12 |
| 1679690093 | Ashraf A. M. Ahmed | Internal Medicine | 205 E Nasa Blvd Fl 2, Melbourne, FL 32901-1950 | 2007-03-22 |
| 1972674687 | Ana Marisol Conde-rosa | Internal Medicine | 1350 Hickory St, Melbourne, FL 32901-3224 | 2006-11-13 |
| 1811962855 | Vincenzo Scotto D'antuono | Internal Medicine | 205 E Nasa Blvd Fl 2, Melbourne, FL 32901-1950 | 2006-02-22 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.