Infectious Diseases Specialist Of Brevard Llc | |
951 N Washington Ave Titusville FL 32796-3279 | |
(321) 750-6579 | |
(844) 433-3836 |
Full Name | Infectious Diseases Specialist Of Brevard Llc |
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Speciality | Internal Medicine |
Location | 951 N Washington Ave, Titusville, Florida |
Authorized Official Name and Position | Nimesh Naik (PRESIDENT) |
Authorized Official Contact | 3217506579 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infectious Diseases Specialist Of Brevard Llc 5701 Rusack Dr Melbourne FL 32940-8017 Ph: () - | Infectious Diseases Specialist Of Brevard Llc 951 N Washington Ave Titusville FL 32796-3279 Ph: (321) 750-6579 |
NPI Number | 1497111983 |
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Provider Enumeration Date | 01/13/2016 |
Last Update Date | 02/15/2023 |
Medicare PECOS PAC ID | 9638478613 |
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Medicare Enrollment ID | O20160425002553 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497111983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | ME105351 (Florida) | Primary |
Provider Name | Nimesh H Naik |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1639331184 PECOS PAC ID: 8820126980 Enrollment ID: I20100511000231 |
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