| Family Pratice Of Suntree And Viera, P.a. | |
|
2 Suntree Pl Melbourne FL 32940-7689 | |
| (321) 253-3944 | |
| (321) 253-4990 |
| Full Name | Family Pratice Of Suntree And Viera, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2 Suntree Pl, Melbourne, Florida |
| Authorized Official Name and Position | Frank Girard Ditz (PRESIDENT) |
| Authorized Official Contact | 3212533944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Pratice Of Suntree And Viera, P.a. 2 Suntree Pl Melbourne FL 32940-7689 Ph: (321) 253-3944 | Family Pratice Of Suntree And Viera, P.a. 2 Suntree Pl Melbourne FL 32940-7689 Ph: (321) 253-3944 |
| NPI Number | 1578751145 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 0941195853 |
|---|---|
| Medicare Enrollment ID | O20040219000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578751145 | NPI | - | NPPES |
| K2822 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME79520 (Florida) | Primary |
| Provider Name | Frank G Ditz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184704124 PECOS PAC ID: 6608775200 Enrollment ID: I20040102000482 |
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