| E. M. Healthcare & Associates, Llc | |
|
152 N Harbor City Blvd Ste 100 Melbourne FL 32935-6794 | |
| (321) 514-7228 | |
| Not Available |
| Full Name | E. M. Healthcare & Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 152 N Harbor City Blvd Ste 100, Melbourne, Florida |
| Authorized Official Name and Position | Ebony Maynard (CEO/FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 3215415547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E. M. Healthcare & Associates, Llc 152 N Harbor City Blvd Ste 100 Melbourne FL 32935-6794 Ph: (321) 541-5547 | E. M. Healthcare & Associates, Llc 152 N Harbor City Blvd Ste 100 Melbourne FL 32935-6794 Ph: (321) 514-7228 |
| NPI Number | 1427819770 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 07/15/2024 |
| Medicare PECOS PAC ID | 5991142911 |
|---|---|
| Medicare Enrollment ID | O20240326000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427819770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ebony Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659797645 PECOS PAC ID: 1658766530 Enrollment ID: I20220310001894 |
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