| Centennial Medical Group | |
|
1341 Bedford Drive Melbourne FL 32940 | |
| (321) 622-8031 | |
| (321) 610-7487 |
| Full Name | Centennial Medical Group |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1341 Bedford Drive, Melbourne, Florida |
| Authorized Official Name and Position | Stephen M Giorgianni (OWNER) |
| Authorized Official Contact | 3216228031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Medical Group 1341 Bedford Drive Melbourne FL 32940 Ph: (321) 622-8031 | Centennial Medical Group 1341 Bedford Drive Melbourne FL 32940 Ph: (321) 622-8031 |
| NPI Number | 1730682642 |
|---|---|
| Provider Enumeration Date | 03/16/2018 |
| Last Update Date | 03/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730682642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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