Familiar Medical Services | |
8085 Spyglass Hill Rd Ste 109 Melbourne FL 32940-7984 | |
(787) 539-9533 | |
Not Available |
Full Name | Familiar Medical Services |
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Speciality | Internal Medicine |
Location | 8085 Spyglass Hill Rd Ste 109, Melbourne, Florida |
Authorized Official Name and Position | Edgardo A Hernandez (OWNER) |
Authorized Official Contact | 3216225677 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Familiar Medical Services 8085 Spyglass Hill Rd Ste 109 Melbourne FL 32940-7984 Ph: (321) 622-5677 | Familiar Medical Services 8085 Spyglass Hill Rd Ste 109 Melbourne FL 32940-7984 Ph: (787) 539-9533 |
NPI Number | 1134606924 |
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Provider Enumeration Date | 07/24/2018 |
Last Update Date | 09/12/2019 |
Medicare PECOS PAC ID | 6608120126 |
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Medicare Enrollment ID | O20181119001874 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134606924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME118572 (Florida) | Primary |
Provider Name | Edgardo Hernandez Pons |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568693034 PECOS PAC ID: 7012054737 Enrollment ID: I20141027001200 |
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