MICHAEL C. IANNIELLO, DO (NPI# 1407142425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407142425 |
| Entity Type | Organization |
| Organization Name | MICHAEL C. IANNIELLO, DO |
| Practice Address |
2560 Judge Fran Jamieson Way Unit 1313 Melbourne FL 32940 |
| Mailing Address |
2560 Judge Fran Jamieson Way Unit 1313 Melbourne FL 32940-6199 |
| Practice Telephone | 9542353752 |
| Mailing Telephone | 9542353752 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | DR. MICHAEL IANNIELLO (OWNER, PHYSICIAN) |
| Authorized Official Telephone | 9542353752 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 279400400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5205 Babcock St Ne Ste 3, Palm Bay, FL 329054638 | 3217291400 | 3217285700 |
| Street Address |
2560 JUDGE FRAN JAMIESON WAY UNIT 1313 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1174142913 | Nikolay Stamboliyski | Internal Medicine | 1387 Dorset Pl, Melbourne, FL 32940-2188 | 2020-04-12 |
| 1215413232 | Madhavi Chary LLC | Internal Medicine | 315 Sandhurst Dr, Melbourne, FL 32940-2159 | 2018-07-12 |
| 1497279590 | G Patel Md Pa | Internal Medicine | 8011 Barrosa Cir, Melbourne, FL 32940-7084 | 2017-07-31 |
| 1376958462 | Brevard Primary Care LLC | Internal Medicine | 1185 Talon Way, Melbourne, FL 32934-3257 | 2014-06-26 |
| 1629413125 | Hilbert Zeballos Pa | Internal Medicine | 903 Balmoral Way, Melbourne, FL 32940-2402 | 2013-05-09 |
| 1558637686 | Gary Joseph Hardoon | Internal Medicine | 6619 N. Wickham Rd, Melbourne, FL 32940 | 2012-03-22 |
| 1356669683 | Lynell S. Newmarch | Internal Medicine | 298 Michigan Ave., Suite 101, Melbourne, FL 32901-3104 | 2010-05-11 |
| 1811195894 | Kalpana Gorthi | Internal Medicine | 6450 N Wickham Rd Ste 106, Melbourne, FL 32940 | 2007-07-11 |
| 1467663872 | Hong Sun Jeong | Internal Medicine | 8095 Spyglass Hill Rd Ste 105, Melbourne, FL 32940-8290 | 2007-05-25 |
| 1689758690 | Marissa Rocourt | Internal Medicine | 1735 W Hibiscus Blvd Ste 201, Melbourne, FL 32901 | 2006-10-25 |
| 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.