Julie Secrest, | |
1350 Hickory St, Melbourne, FL 32901-3224 | |
(321) 434-7208 | |
(321) 434-5344 |
Full Name | Julie Secrest |
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Gender | Female |
Speciality | Pediatrics |
Location | 1350 Hickory St, Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912160813 | NPI | - | NPPES |
004250100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME110718 (Florida) | Primary |
208000000X | Pediatrics | 4301092607 (Michigan) | Secondary |
Entity Name | Florida Emergency Physicians Kang And Associates Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811983752 PECOS PAC ID: 0143113878 Enrollment ID: O20040205000687 |
Entity Name | Emergency Physician Solutions Of North Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558731901 PECOS PAC ID: 3072815869 Enrollment ID: O20160112000001 |
Entity Name | Integratedem1 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255834362 PECOS PAC ID: 4688920150 Enrollment ID: O20180713001113 |
Mailing Address | Practice Location Address |
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Julie Secrest, Po Box 191, Rockland, DE 19732-0191 Ph: (302) 651-6212 | Julie Secrest, 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-7208 |
Dr. Hiep Le Nguyen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1755 W Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-5437 Fax: 321-724-5570 | |
Dr. Robert E Leiba, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1755 W Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-5437 Fax: 321-724-5570 | |
Dr. Omar Dean Hudson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1223 Gateway Dr Ste 1g, Melbourne, FL 32901 Phone: 321-723-0072 Fax: 321-952-0850 | |
Brenda Lis Figueras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-241-6800 Fax: 321-241-6888 | |
Dr. Julio Daniel Vallette Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Hickory St, Melbourne, FL 32901 Phone: 321-434-7243 | |
Dr. Faris M. Al-mousily, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3021 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934 Phone: 321-275-5444 Fax: 321-275-3799 | |
Joshua Lee Dillon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 407-975-0410 Fax: 407-975-0413 |