| Suntree Internal Medicine, Llc. | |
|
6619 N Wickham Rd Melbourne FL 32940-2006 | |
| (321) 259-9500 | |
| (321) 253-1777 |
| Full Name | Suntree Internal Medicine, Llc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 09/21/2020 |
| Medicare PECOS PAC ID | 1951378694 |
|---|---|
| Medicare Enrollment ID | O20040913001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700947884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ronald L Blankstein |
|---|---|
| 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 | Celestino D Santi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164427332 PECOS PAC ID: 9335197367 Enrollment ID: I20050708000628 |
| Provider Name | Edwin C Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124142054 PECOS PAC ID: 5991853061 Enrollment ID: I20091002000219 |
| Provider Name | Sandra O Keefe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043332224 PECOS PAC ID: 4587764741 Enrollment ID: I20101022000187 |
| Provider Name | Scott Hardoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427209147 PECOS PAC ID: 6507035532 Enrollment ID: I20110809000510 |
| Provider Name | Amanda B Lovering |
|---|---|
| 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 | 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 | 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 | Laura Moncada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942711361 PECOS PAC ID: 2961741368 Enrollment ID: I20190301001470 |
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477613271 PECOS PAC ID: 6800998014 Enrollment ID: I20200623000403 |
| Provider Name | Meghan Galili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497296693 PECOS PAC ID: 1850663527 Enrollment ID: I20200819000606 |
| 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 | Christopher Thaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407334675 PECOS PAC ID: 9133520729 Enrollment ID: I20210702002296 |
| Provider Name | Jasmine Montanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023748803 PECOS PAC ID: 7012388085 Enrollment ID: I20230131000025 |
| Provider Name | Brandi Nicole Gallego |
|---|---|
| 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 | Luana Pereira Meskauskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700583465 PECOS PAC ID: 8921473935 Enrollment ID: I20230405000374 |
Donald H. Dehaven Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8057 Spyglass Hill Rd, Unit 104, Melbourne, FL 32940 Phone: 321-622-8943 Fax: 321-622-8945 | |
Comprehensive Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1495 N. Harbor City Blvd., Suite F, Melbourne, FL 32935 Phone: 321-253-0646 Fax: 321-253-1004 | |
Crane Creek Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 S Harbor City Blvd, Melbourne, FL 32901 Phone: 321-725-5050 Fax: 321-725-9100 | |
Comprehensive Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1509 N Harbor City Blvd, Melbourne, FL 32935 Phone: 321-253-0846 Fax: 321-253-1004 | |
Sarno Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-952-9696 Fax: 321-952-7937 | |
First Locums Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3248 Cortona Dr, Melbourne, FL 32940 Phone: 321-735-8301 Fax: 321-735-8301 | |
Family First Physicians Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 E New Haven Ave, Melbourne, FL 32901 Phone: 321-722-5846 |