PASSION QUEST, INC. (NPI# 1417087495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417087495 |
| Entity Type | Organization |
| Organization Name | PASSION QUEST, INC. |
| Other Organization Name | SOUTHEAST CARDIOVASCULAR IMAGING |
| Practice Address |
1402 Oak St Melbourne FL 32901-3113 |
| Mailing Address |
Po Box 560914 Rockledge FL 32956-0914 |
| Practice Telephone | 3214273089 |
| Mailing Telephone | 3214273089 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DERRICK LEVASCA JENKINS I (PRESIDENT) |
| Authorized Official Telephone | 3216370852 |
| Authorized Official Credential | RCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | HCC6819 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HEALTH CARE CLINIC | HCC6819 | 01 |
| Other Name | Type Code |
|---|---|
| Southeast Cardiovascular Imaging | Doing Business As Name - Organization |
| Street Address |
1402 OAK ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043296783 | Charles H. Croft | Specialist | 1402 Oak St, Melbourne, FL 32901-3113 | 2005-12-15 |
| 1053831644 | Richard Borck | Emergency Medical Technician, Basic | 1402 Oak St, Melbourne, FL 32901-3113 | 2017-06-23 |
| 1245475151 | Melissa Suzanne Kuba | Nurse Practitioner | 1402 Oak St, Melbourne, FL 32901-3113 | 2008-12-05 |
| 1285806869 | Charles H. Croft M.d.,p.a. | Specialist | 1402 Oak St, Melbourne, FL 32901-3113 | 2008-03-24 |
| 1316160161 | Dineshkumar Gordhanbhai Patel | Internal Medicine | 1402 Oak St, Melbourne, FL 32901-3113 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907828 | Total Spine & Wellness | Clinic/Center | 1747 Evans Rd Ste 103, Melbourne, FL 32904-3869 | 2020-09-16 |
| 1477177004 | Space Coast Advanced Practice Consultants LLC | Clinic/Center | 115 Hickory St Ste 204, Melbourne, FL 32904-3505 | 2020-05-29 |
| 1558502492 | Atlantic Cardionet | Clinic/Center | 1305 S Hickory St, Melbourne, FL 32901-3223 | 2009-03-23 |
| 1164525481 | Atlantic Cardiolink | Clinic/Center | 1305 Hickory St, Melbourne, FL 32901-3223 | 2006-09-06 |
| 1265455133 | Unconditional Love Inc. | Clinic/Center | 1495 N. Harbor City Blvd., Suite F, Melbourne, FL 32935-6572 | 2006-07-25 |
| 1780617738 | Palm Bay Anesthesia, Inc | Clinic/Center | 1051 Hickory St, Melbourne, FL 32901-1962 | 2006-07-09 |
| 1639178510 | Melbourne Urgent Care, LLC | Clinic/Center | 187 S Wickham Rd, Suite 101, Melbourne, FL 32904-1123 | 2005-07-21 |
| 1295290708 | Harbor City Hearing Solutions | Clinic/Center | 7155 Murrell Rd Ste 101, Melbourne, FL 32940-8258 | 2019-02-08 |
| 1457823080 | Medfast Urgent Care Center, LLC | Clinic/Center | 2113 Sarno Rd, Melbourne, FL 32935-3001 | 2018-12-20 |
| 1619445087 | Children's Home Society of Florida | Clinic/Center | 326 Croton Rd, Melbourne, FL 32935-6340 | 2018-11-05 |
| 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.