| First Locums Inc | |
|
3248 Cortona Dr Melbourne FL 32940-8613 | |
| (321) 735-8301 | |
| (321) 735-8301 |
| Full Name | First Locums Inc |
|---|---|
| Speciality | Hospitalist |
| Location | 3248 Cortona Dr, Melbourne, Florida |
| Authorized Official Name and Position | Hassan a Elhewan (PRESIDENT/ OWNER) |
| Authorized Official Contact | 3217358301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Locums Inc 3248 Cortona Dr Melbourne FL 32940-8613 Ph: (321) 735-8301 | First Locums Inc 3248 Cortona Dr Melbourne FL 32940-8613 Ph: (321) 735-8301 |
| NPI Number | 1013467554 |
|---|---|
| Provider Enumeration Date | 10/07/2016 |
| Last Update Date | 12/07/2016 |
| Medicare PECOS PAC ID | 2365722691 |
|---|---|
| Medicare Enrollment ID | O20161202001747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013467554 | NPI | - | NPPES |
| 019199600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 208M00000X | Hospitalist | () | Primary |
| Provider Name | Hassan a Elhewan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457668139 PECOS PAC ID: 5991947038 Enrollment ID: I20130820000331 |
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