Dr Jamie Lee Clute, MD | |
1350 Hickory St, Melbourne, FL 32901-3224 | |
(321) 434-7208 | |
(321) 434-5344 |
Full Name | Dr Jamie Lee Clute |
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Gender | Male |
Speciality | Pediatrics |
Location | 1350 Hickory St, Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124078456 | NPI | - | NPPES |
272178300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME91234 (Florida) | Primary |
Entity Name | University Medical Service Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252 |
Mailing Address | Practice Location Address |
---|---|
Dr Jamie Lee Clute, MD Po Box 191, Rockland, DE 19732-0191 Ph: (302) 651-6201 | Dr Jamie Lee Clute, MD 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-7208 |
Dr. Hiep Le Nguyen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1755 W Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-5437 Fax: 321-724-5570 | |
Dr. Robert E Leiba, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1755 W Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-5437 Fax: 321-724-5570 | |
Dr. Omar Dean Hudson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1223 Gateway Dr Ste 1g, Melbourne, FL 32901 Phone: 321-723-0072 Fax: 321-952-0850 | |
Brenda Lis Figueras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-241-6800 Fax: 321-241-6888 | |
Dr. Julio Daniel Vallette Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Hickory St, Melbourne, FL 32901 Phone: 321-434-7243 | |
Dr. Faris M. Al-mousily, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3021 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934 Phone: 321-275-5444 Fax: 321-275-3799 |