Suntree Internal Medicine, Llc. | |
6619 N Wickham Rd Melbourne FL 32940-2006 | |
(321) 259-9500 | |
(321) 253-1777 |
Full Name | Suntree Internal Medicine, Llc. |
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Speciality | Internal Medicine |
Location | 6619 N Wickham Rd, Melbourne, Florida |
Authorized Official Name and Position | Abe Hardoon (DIRECTOR MD) |
Authorized Official Contact | 3212599500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Suntree Internal Medicine, Llc. 6619 N Wickham Rd Melbourne FL 32940-2006 Ph: (321) 259-9500 | Suntree Internal Medicine, Llc. 6619 N Wickham Rd Melbourne FL 32940-2006 Ph: (321) 259-9500 |
NPI Number | 1700947884 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 01/24/2025 |
Medicare PECOS PAC ID | 1951378694 |
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Medicare Enrollment ID | O20040913001133 |
Identifier | Type | State | Issuer |
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1700947884 | NPI | - | NPPES |
Provider Name | Roberto Rivera-morales |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992797377 PECOS PAC ID: 6002713336 Enrollment ID: I20040202000733 |
Provider Name | Ronald L Blankstein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720044290 PECOS PAC ID: 7719879568 Enrollment ID: I20040326000312 |
Provider Name | Soheil Sooudi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1225112378 PECOS PAC ID: 2163499120 Enrollment ID: I20040910000719 |
Provider Name | Abraham Hardoon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134275357 PECOS PAC ID: 0749257483 Enrollment ID: I20041230000392 |
Provider Name | Russell G Gelormini |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1932194545 PECOS PAC ID: 7719928217 Enrollment ID: I20050516000102 |
Provider Name | Celestino D Santi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164427332 PECOS PAC ID: 9335197367 Enrollment ID: I20050708000628 |
Provider Name | Robert Smith |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1003810581 PECOS PAC ID: 2668378092 Enrollment ID: I20060103000804 |
Provider Name | Kizhake C Kurian |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1427082486 PECOS PAC ID: 1254303704 Enrollment ID: I20060907000474 |
Provider Name | Abbas A Chamsuddin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1578539557 PECOS PAC ID: 0446150262 Enrollment ID: I20070724000251 |
Provider Name | Justin Hung Pham |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821040866 PECOS PAC ID: 0042104754 Enrollment ID: I20080103000181 |
Provider Name | Edwin C Chan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124142054 PECOS PAC ID: 5991853061 Enrollment ID: I20091002000219 |
Provider Name | Norman Pennington |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1295728251 PECOS PAC ID: 8527960251 Enrollment ID: I20100212000049 |
Provider Name | Sanjay Jain |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1730130105 PECOS PAC ID: 7911804968 Enrollment ID: I20100916001099 |
Provider Name | Sandra O Keefe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043332224 PECOS PAC ID: 4587764741 Enrollment ID: I20101022000187 |
Provider Name | Bradley J Artel |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1265408140 PECOS PAC ID: 2466641493 Enrollment ID: I20110106000693 |
Provider Name | Scott Hardoon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427209147 PECOS PAC ID: 6507035532 Enrollment ID: I20110809000510 |
Provider Name | Joseph Freedman |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1801061890 PECOS PAC ID: 8325209307 Enrollment ID: I20120418000777 |
Provider Name | Naiyer Imam |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992768147 PECOS PAC ID: 6103880935 Enrollment ID: I20121005000612 |
Provider Name | Amanda B Lovering |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376871772 PECOS PAC ID: 6901057405 Enrollment ID: I20121109000310 |
Provider Name | Nikka M Cohan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033474952 PECOS PAC ID: 2860646064 Enrollment ID: I20130215000111 |
Provider Name | Uchendu Azodo |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1780690222 PECOS PAC ID: 7719040625 Enrollment ID: I20150618001436 |
Provider Name | Harry Diaz-mendez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396725727 PECOS PAC ID: 1557376159 Enrollment ID: I20150812007204 |
Provider Name | Gary Joseph Hardoon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558637686 PECOS PAC ID: 7911142997 Enrollment ID: I20150901001119 |
Provider Name | Derek Kurt Urban |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033197454 PECOS PAC ID: 8224251707 Enrollment ID: I20160810002623 |
Provider Name | Ami A Bhatt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124373212 PECOS PAC ID: 8426203423 Enrollment ID: I20161205000696 |
Provider Name | Shannon R Spreitzer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720459654 PECOS PAC ID: 4284917956 Enrollment ID: I20170203002469 |
Provider Name | Raul Edgardo Paraliticci |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1174575336 PECOS PAC ID: 6204731193 Enrollment ID: I20180611000971 |
Provider Name | Nadir Khan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720286230 PECOS PAC ID: 1456425446 Enrollment ID: I20180713000313 |
Provider Name | Pradheep Jothi Shanker |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1457399818 PECOS PAC ID: 8123030657 Enrollment ID: I20180713001165 |
Provider Name | Walter Y Uyesugi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1386634202 PECOS PAC ID: 3476619016 Enrollment ID: I20180831000759 |
Provider Name | Ali Allawi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1578659710 PECOS PAC ID: 7810099983 Enrollment ID: I20180905003907 |
Provider Name | Ronald Stephen Pritchard |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1417998774 PECOS PAC ID: 2668426578 Enrollment ID: I20181005001655 |
Provider Name | Lloyd Wagner |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1124161872 PECOS PAC ID: 3870517923 Enrollment ID: I20181029001815 |
Provider Name | Cary Rose |
---|---|
Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1548244122 PECOS PAC ID: 2365427184 Enrollment ID: I20181106003034 |
Provider Name | Laura Moncada |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942711361 PECOS PAC ID: 2961741368 Enrollment ID: I20190301001470 |
Provider Name | James Collins |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1366429383 PECOS PAC ID: 0749176261 Enrollment ID: I20190503000245 |
Provider Name | Angela Marie Armellini |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083178735 PECOS PAC ID: 6800125147 Enrollment ID: I20200203001226 |
Provider Name | Ana Rebecca Klenz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477613271 PECOS PAC ID: 6800998014 Enrollment ID: I20200623000403 |
Provider Name | Adam D Evans |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1053748822 PECOS PAC ID: 0446573943 Enrollment ID: I20200818001393 |
Provider Name | Meghan Galili |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497296693 PECOS PAC ID: 1850663527 Enrollment ID: I20200819000606 |
Provider Name | Jack N Newman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1215915012 PECOS PAC ID: 0446212393 Enrollment ID: I20200922001137 |
Provider Name | Justin Ly |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1770560542 PECOS PAC ID: 2264467190 Enrollment ID: I20200922002285 |
Provider Name | Lan Vu |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1316203144 PECOS PAC ID: 5294082913 Enrollment ID: I20200923000618 |
Provider Name | David Filsoof |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1861686354 PECOS PAC ID: 2365698081 Enrollment ID: I20201022001935 |
Provider Name | Phillip Triantos |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1104821297 PECOS PAC ID: 9931003035 Enrollment ID: I20201111001578 |
Provider Name | Jason Yeh-sheng Liu |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1790725364 PECOS PAC ID: 3971416850 Enrollment ID: I20210511000130 |
Provider Name | Lisa M Rathbun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285210369 PECOS PAC ID: 3870992969 Enrollment ID: I20210521001069 |
Provider Name | Hareer Al Salihi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710482617 PECOS PAC ID: 2062766132 Enrollment ID: I20210607001508 |
Provider Name | Jason Finkelstein |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1750355103 PECOS PAC ID: 0446207393 Enrollment ID: I20210622000216 |
Provider Name | Christopher Thaver |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407334675 PECOS PAC ID: 9133520729 Enrollment ID: I20210702002296 |
Provider Name | Palam Annamalai |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1972529584 PECOS PAC ID: 5698776144 Enrollment ID: I20220910000252 |
Provider Name | Aamer Farooki |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1316941859 PECOS PAC ID: 5698768539 Enrollment ID: I20221027002376 |
Provider Name | Jasmine Montanez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023748803 PECOS PAC ID: 7012388085 Enrollment ID: I20230131000025 |
Provider Name | Saddad Toor |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1649253998 PECOS PAC ID: 9931247855 Enrollment ID: I20230207002558 |
Provider Name | Brandi Nicole Gallego |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578296588 PECOS PAC ID: 9638541840 Enrollment ID: I20230217000217 |
Provider Name | Amber Jack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992445951 PECOS PAC ID: 3072986645 Enrollment ID: I20230301001281 |
Provider Name | Yasser Mir |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821198482 PECOS PAC ID: 5395846091 Enrollment ID: I20230407001263 |
Provider Name | Yang-en Kao |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326013319 PECOS PAC ID: 0648316299 Enrollment ID: I20230410002198 |
Provider Name | Young Kim |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1144218108 PECOS PAC ID: 1658554555 Enrollment ID: I20230503002308 |
Provider Name | Christopher Bazemore |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1265813760 PECOS PAC ID: 5395137459 Enrollment ID: I20240717004860 |
Provider Name | Jordan Leigh Galili |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104662519 PECOS PAC ID: 5496288474 Enrollment ID: I20241029003886 |
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