| Mr Stephen Emile Theriault, PA-C | |
|
1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 | |
| (321) 953-1225 | |
| (321) 768-0033 |
| Full Name | Mr Stephen Emile Theriault |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 1341 Medical Park Dr, Melbourne, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134262710 | NPI | - | NPPES |
| 292994500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0227 (New Hampshire) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA9104153 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen Emile Theriault, PA-C 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 Ph: (321) 953-1225 | Mr Stephen Emile Theriault, PA-C 1341 Medical Park Dr, Suite 201, Melbourne, FL 32901-3235 Ph: (321) 953-1225 |
Mr. Christian Anthony Staniec, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6032 Farcenda Pl, #102, Melbourne, FL 32940 Phone: 321-608-8160 Fax: 321-622-6818 | |
Ms. Sabrina Wu Staples, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3337 Hoofprint Dr, Melbourne, FL 32940 Phone: 321-610-7234 | |
Mr. Patrick Gene Campbell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1494 Avocado Ave, Melbourne, FL 32935 Phone: 321-610-7950 | |
Sara Jane Sengel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940 Phone: 321-253-2169 Fax: 321-253-1720 | |
Mr. Michael J Ceranowski, PA-C, CAA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 | |
Danielle N Miller, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 1e, Melbourne, FL 32901 Phone: 321-725-4505 Fax: 321-409-8932 | |
Yesenia Aragon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2221 Town Center Ave, #121, Melbourne, FL 32940 Phone: 786-202-1865 |