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1223 Gateway Dr Melbourne FL 32901-2607 | |
(321) 434-5112 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 1223 Gateway Dr, Melbourne, Florida |
Authorized Official Name and Position | Lora Morse (VP PROFESSIONAL FEE REVENUE CYCLE) |
Authorized Official Contact | 3214346116 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3300 S Fiske Blvd Rockledge FL 32955-4306 Ph: (321) 434-5112 | 1223 Gateway Dr Melbourne FL 32901-2607 Ph: (321) 434-5112 |
NPI Number | 1164474276 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 10/30/2020 |
Identifier | Type | State | Issuer |
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1164474276 | NPI | - | NPPES |
250299200 | Medicaid | FL |
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