MEDICAL TECHNOLOGY TRANSFER CORPORATION (NPI# 1295044824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295044824 |
| Entity Type | Organization |
| Organization Name | MEDICAL TECHNOLOGY TRANSFER CORPORATION |
| Other Organization Name | 4CARE FAMILY PRACTICE |
| Practice Address |
590 Malabar Road, Suite 6 Palm Bay FL 32907 |
| Practice Telephone | 3216763535 |
| Practice Fax Number | 3216763575 |
| Mailing Telephone | 3216763535 |
| Mailing Fax Number | 3216763575 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | FRANK BRIGHT (VICE PRESIDENT) |
| Authorized Official Telephone | 3217261604 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL TECHNOLOGY TRANSFER CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| 4CARE Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679742787 | Medical Technology Transfer Corporation | Clinic/Center | 590 Malabar Rd Se, Suite 7, Palm Bay, FL 32907-3108 | 2008-02-22 |
| 1104947217 | Medical Technology Transfer Corporation | Clinic/Center | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2007-04-03 |
| 1871579375 | Medical Technology Transfer Corporation | Pharmacy | 1800 W Hibiscus Blvd, Suite 101, Melbourne, FL 32901-2629 | 2005-12-16 |
| Street Address |
590 MALABAR ROAD, SUITE 6 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699968792 | Pt Malabar Chiropractic Clinic Inc | Clinic/Center | 5201 Babcock St Ne Ste 1, Palm Bay, FL 32905-4637 | 2007-08-22 |
| 1225420599 | German Castro Md | Clinic/Center | 1091 Port Malabar Blvd Ne, Suite 1, Palm Bay, FL 32905-5100 | 2015-02-24 |
| 1295752053 | Associate Medical Management, Inc | Clinic/Center | 2105 Palm Bay Rd Ne, Suite 1-w, Palm Bay, FL 32905-2937 | 2006-07-17 |
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| Find all providers with the same taxonomy | ||||
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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.