MEDI MELBOURNE LLC (NPI# 1629520606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629520606 |
| Entity Type | Organization |
| Organization Name | MEDI MELBOURNE LLC |
| Practice Address |
7630 N Wickham Rd Ste 104 Melbourne FL 32940-8257 |
| Practice Telephone | 3216107982 |
| Practice Fax Number | 3216107984 |
| Mailing Telephone | 3216107982 |
| Mailing Fax Number | 3216107984 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | TOM WILLETT (OWNER) |
| Authorized Official Telephone | 3216107982 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700256450 | Medi Melbourne LLC | General Practice | 7630 N Wickham Rd, Suite 104, Melbourne, FL 32940-8257 | 2015-10-06 |
| Street Address |
7630 N WICKHAM RD STE 104 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-8257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790269744 | Florida Rheumatology Care | Internal Medicine | 7630 N Wickham Rd Ste 104, Melbourne, FL 32940-8257 | 2018-09-16 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558836361 | Space Coast Health Care Network | General Practice | 1344 S Apollo Blvd Ste 303, Melbourne, FL 32901-3185 | 2018-10-08 |
| 1750899837 | Nu-me Medical Clinic Inc | General Practice | 3150 N Wickham Rd Ste 9, Melbourne, FL 32935-2322 | 2018-01-11 |
| 1700256450 | Medi Melbourne LLC | General Practice | 7630 N Wickham Rd, Suite 104, Melbourne, FL 32940-8257 | 2015-10-06 |
| 1659490712 | John Donovan | General Practice | 201 Plantation Club Dr Apt 1012, Melbourne, FL 32940-1932 | 2007-03-28 |
| 1275008716 | Central Florida Wellness LLC | General Practice | 1800 W Hibiscus Blvd Ste 131, Melbourne, FL 32901-2633 | 2018-10-11 |
| 1356883771 | Marathon Health, Inc. | General Practice | 2694 Judge Fran Jamieson Way, C/o Brevard Wellcare- Central, Melbourne, FL 32940 | 2016-11-16 |
| 1568851632 | C & C Healthcare LLC | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2015-01-13 |
| 1629476098 | C & C Healthcare LLC | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2014-12-16 |
| 1033456959 | Linette Cintron-medina | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2013-01-11 |
| 1134371933 | Omnihealthcare Inc | General Practice | 95 Bulldog Blvd, Suite 202, Melbourne, FL 32901-3188 | 2008-10-13 |
| 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.