MELBOURNE URGENT CARE, LLC (NPI# 1639178510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639178510 |
| Entity Type | Organization |
| Organization Name | MELBOURNE URGENT CARE, LLC |
| Practice Address |
187 S Wickham Rd Suite 101 Melbourne FL 32904-1123 |
| Practice Telephone | 3219539981 |
| Practice Fax Number | 3219530212 |
| Mailing Telephone | 3219539981 |
| Mailing Fax Number | 3219530212 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KRISHNA S VARA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3219539981 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ME88505 | FL | Ambulatory Health Care Facilities |
| Street Address |
187 S WICKHAM RD SUITE 101 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730550328 | Brevard Clinical Research Center, Inc. | Specialist | 187 S Wickham Rd, Unit 101, Melbourne, FL 32904-1123 | 2015-10-08 |
| 1770871659 | Brad Nelson | Chiropractor | 187 S Wickham Rd, Suite 2, Melbourne, FL 32904-1123 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| 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 |
| 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 |
| 1902318108 | Audiology Services Company Usa, LLC | Clinic/Center | 1106 W New Haven Ave, Melbourne, FL 32904-4056 | 2017-10-27 |
| 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.