MERRITT ISLAND WALK IN CLINIC LLC (NPI# 1326451725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326451725 |
| Entity Type | Organization |
| Organization Name | MERRITT ISLAND WALK IN CLINIC LLC |
| Other Organization Name | MERRITT ISLAND WALK IN CLINIC FAMILY MEDICINE |
| Practice Address |
1045 N Courtenay Pkwy Merritt Island FL 32953-4531 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 3214529255 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC, |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | ME95111 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Merritt Island Walk In Clinic Family Medicine | Doing Business As Name - Organization |
| Street Address |
1045 N COURTENAY PKWY |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32953-4531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133156 | Rajee Paul | Family Medicine | 1045 N Courtenay Pkwy, Merritt Island, FL 32953-4531 | 2005-09-08 |
| 1598259665 | Kyle James Callaway | Optometrist | 1045 N Courtenay Pkwy, Merritt Island, FL 32953-4531 | 2018-06-21 |
| 1821334038 | Chad Broy | Hearing Instrument Specialist | 1045 N Courtenay Pkwy, Merritt Island, FL 32953-4531 | 2012-12-14 |
| 1922399195 | Merritt Island Conscious Sedation | Anesthesiology | 1045 N Courtenay Pkwy, Merritt Island, FL 32953-4531 | 2011-04-22 |
| 1265750400 | Merritt Island Walk-in Clinic LLC | Family Medicine | 1045 N Courtenay Pkwy, Merritt Island, FL 32953-4531 | 2010-05-12 |
| 1750313144 | Ambulatory Surgical Care, LLC | Clinic/Center | 1045 N Courtenay Pkwy, Merritt Island, FL 32953-4531 | 2006-07-07 |
| 1306874722 | Mukesh C Aggarwal | Ophthalmology | 1045 N Courtenay Pkwy, Merritt Island, FL 32953-4531 | 2006-06-28 |
| 1962449785 | Aggarwal Medical Associates Pa | Ophthalmology | 1045 N Courtenay Pkwy, Merritt Island, FL 32953-4531 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
| 1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
| 1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
| 1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
| 1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
| 1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
| 1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
| 1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
| Find all providers in zip 32953 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881008696 | Brevard Family Walk In Clinic LLC | Non-Pharmacy Dispensing Site | 1205 N Courtenay Pkwy, Merritt Island, FL 32953-5500 | 2014-06-19 |
| 1295052884 | The Pain Institute | Non-Pharmacy Dispensing Site | 595 N Courtenay Pkwy, Merritt Island, FL 32953-4851 | 2010-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699232 | Orlando Dermatology Clinic LLC | Non-Pharmacy Dispensing Site | 118 W Orange St, Altamonte Springs, FL 32714-2537 | 2020-11-03 |
| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
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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.