MEDFAST FAMILY PHYSICIANS LLC (NPI# 1174792048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174792048 |
| Entity Type | Organization |
| Organization Name | MEDFAST FAMILY PHYSICIANS LLC |
| Practice Address |
7970 N Wickham Rd Suite #101 Melbourne FL 32940-8299 |
| Practice Telephone | 3217517222 |
| Practice Fax Number | 3217516655 |
| Mailing Telephone | 3217517222 |
| Mailing Fax Number | 3217516655 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-10-24 |
| Authorized Official Name | DR. DAVID T. WILLIAMS (MANAGING MEMBER) |
| Authorized Official Telephone | 3217517222 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OS4050 | FL | Ambulatory Health Care Facilities |
| Street Address |
7970 N WICKHAM RD SUITE #101 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-8299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578538278 | Janet A Anciro | Internal Medicine | 7970 N Wickham Rd, Suite 101, Melbourne, FL 32940-8299 | 2006-02-17 |
| 1740612977 | Neuroskeletal Imaging LLC | Radiology | 7970 N Wickham Rd, Melbourne, FL 32940-8299 | 2013-07-30 |
| 1891012993 | Baytree Medical Associates LLC | Internal Medicine | 7970 N Wickham Rd, Suite 101, Melbourne, FL 32940-8299 | 2010-04-28 |
| 1407067556 | Julie Nicole Chevillet | Orthopaedic Surgery | 7970 N Wickham Rd, Suite 101, Melbourne, FL 32940-8299 | 2007-05-24 |
| 1912036781 | Brevard Hma Diagnostic Imaging LLC | Radiology | 7970 N Wickham Rd, Melbourne, FL 32940-8299 | 2007-03-05 |
| 1538298344 | Suntree Diagnostic Center | Radiology | 7970 N Wickham Rd, Suite A, Melbourne, FL 32940-7917 | 2007-03-05 |
| 1851327357 | Francesca Sessa | Physician Assistant | 7970 N Wickham Rd, Emergency Department, Melbourne, FL 32940-8299 | 2006-06-25 |
| 1508816950 | Frances Leone Dilley | Family Medicine | 7970 N Wickham Rd, Suite 101, Melbourne, FL 32940-8299 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842246 | Buddha P.a | Clinic/Center | 1731 Banaghen Dr, Melbourne, FL 32940-6012 | 2020-05-12 |
| 1265871248 | Kidspiration Pediatric Therapy Services Too, Inc. | Clinic/Center | 905 East Main St, Melbourne, AR 72556 | 2013-06-23 |
| 1700412814 | Partners In Community Care, LLC | Clinic/Center | 445 Pineda Ct, Melbourne, FL 32940-7555 | 2020-03-20 |
| 1467014431 | Via Healthcare LLC | Clinic/Center | 1341 Bedford Dr, Melbourne, FL 32940-1986 | 2019-07-01 |
| 1508352485 | Kidspiration Pediatric Therapy Services Too, Inc. | Clinic/Center | 889 Main St, Melbourne, AR 72556-8205 | 2018-07-03 |
| 1366835795 | Melbourne Medical LLC | Clinic/Center | 1600 W Eau Gallie Blvd, Suite 102, Melbourne, FL 32935-4149 | 2015-03-10 |
| 1730509811 | Pediatric Wiazards | Clinic/Center | 1310 W Eau Gallie Blvd, Suite C, Melbourne, FL 32935-5300 | 2014-04-16 |
| 1174969703 | University Center Medical LLC | Clinic/Center | 1800 W Hibiscus Blvd, Suite 105, Melbourne, FL 32901-2629 | 2013-05-22 |
| 1053615179 | Wellspring Medical Center LLC | Clinic/Center | 21 Suntree Pl, Suite 101, Melbourne, FL 32940-7600 | 2011-01-04 |
| 1437303385 | Melbourne Community Health Center | Clinic/Center | 15 E Hibiscus Blvd, Melbourne, FL 32901-3101 | 2008-11-05 |
| 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.