<unavail> in Melbourne, FL - Family Medicine

is a primary clinic (Family Medicine - Adult Medicine) in Melbourne, Florida. The current practice location for is 4780 Dairy Rd, Melbourne, Florida. For appointments, you can reach them via phone at (321) 989-2187. The mailing address for is 4780 Dairy Rd, Melbourne, Florida and phone number is (321) 989-2187.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1386365476. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (321) 989-2187.

Contact Information


	4780 Dairy Rd Melbourne FL 32904-8482
	(321) 989-2187
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine - Adult Medicine
Location	4780 Dairy Rd, Melbourne, Florida
Authorized Official Name and Position	Jay Bouldin (CEO)
Authorized Official Contact	3219892187
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4780 Dairy Rd Melbourne FL 32904-8482 Ph: (321) 989-2187	4780 Dairy Rd Melbourne FL 32904-8482 Ph: (321) 989-2187

NPI Details:

NPI Number	1386365476
Provider Enumeration Date	09/07/2022
Last Update Date	07/26/2023

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386365476	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	(* (Not Available))	Primary
208D00000X	General Practice	(* (Not Available))	Secondary
246Z00000X	Specialist/technologist, Other	(* (Not Available))	Secondary
251J00000X	Nursing Care	(* (Not Available))	Secondary
261QR0405X	Clinic/center - Rehabilitation, Substance Use Disorder	(* (Not Available))	Secondary
261QR1100X	Clinic/center - Research	(* (Not Available))	Secondary
363LA2200X	Nurse Practitioner - Adult Health	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	(* (Not Available))	Secondary
363LP2300X	Nurse Practitioner - Primary Care	(* (Not Available))	Secondary

Reviews and Comments

Family Medicine in Melbourne, FL

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
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
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
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
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

- Primary Care in Melbourne, FL