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2075 Meadowlane Ave W. Melbourne FL 32904 | |
(888) 554-6558 | |
(321) 757-5177 |
Full Name | |
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Speciality | Speech-language Pathologist |
Location | 2075 Meadowlane Ave, W. Melbourne, Florida |
Authorized Official Name and Position | Frank P Decaro (OWNER/CEO) |
Authorized Official Contact | 3214329418 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7777 N Wickham Rd Suite 12-309 Melbourne FL 32940-7976 Ph: (888) 554-6558 | 2075 Meadowlane Ave W. Melbourne FL 32904 Ph: (888) 554-6558 |
NPI Number | 1992961973 |
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Provider Enumeration Date | 07/30/2008 |
Last Update Date | 02/18/2009 |
Identifier | Type | State | Issuer |
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1992961973 | NPI | - | NPPES |