| |
2694 Judge Fran Jamieson Way C/o Brevard Wellcare- Central Melbourne FL 32940 | |
(321) 252-1169 | |
(321) 989-0316 |
Full Name | |
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Speciality | General Practice |
Location | 2694 Judge Fran Jamieson Way, Melbourne, Florida |
Authorized Official Name and Position | Jerry Ford (CEO) |
Authorized Official Contact | 8028570400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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20 Winooski Falls Way Ste 400 Winooski VT 05404-2239 Ph: (802) 857-0400 | 2694 Judge Fran Jamieson Way C/o Brevard Wellcare- Central Melbourne FL 32940 Ph: (321) 252-1169 |
NPI Number | 1356883771 |
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Provider Enumeration Date | 11/16/2016 |
Last Update Date | 11/16/2016 |
Identifier | Type | State | Issuer |
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1356883771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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