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1310 W Eau Gallie Blvd, Suite E, Melbourne, FL 32935-5300 | |
| (321) 255-3338 | |
| (321) 253-9643 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1310 W Eau Gallie Blvd, Melbourne, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194998286 | NPI | - | NPPES |
| 041009800 | Medicaid | FL | |
| 72224 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901-2946 Ph: (321) 723-3500 | 1310 W Eau Gallie Blvd, Suite E, Melbourne, FL 32935-5300 Ph: (321) 255-3338 |
Gaithe Stcyr, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Brian J Mallette Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 200 S Harbor City Blvd, Suite302, Melbourne, FL 32901 Phone: 321-728-0117 Fax: 321-728-0151 | |
Foot And Ankle Associates Of Brevard Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4020 Fair Point Ln, Melbourne, FL 32934 Phone: 321-960-9040 | |
Claudia R Mallette Dpm Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1555 W Nasa Blvd, Melbourne, FL 32901 Phone: 321-728-0117 Fax: 321-728-0151 | |
Dr. Thomas Charles Wilson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1515 Dr Martin Luther King Jr Blvd, Melbourne, FL 32901 Phone: 321-723-3500 Fax: 321-723-1945 |