| Kimmelcare Family Practice Pa | |
|
2230 N Wickham Rd Suite B Melbourne FL 32935 | |
| (321) 757-0600 | |
| (321) 757-0690 |
| Full Name | Kimmelcare Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2230 N Wickham Rd, Melbourne, Florida |
| Authorized Official Name and Position | Murray A Kimmel (PRESIDENT) |
| Authorized Official Contact | 3217570600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimmelcare Family Practice Pa 2230 N Wickham Rd Suite B Melbourne FL 32935 Ph: (321) 757-0600 | Kimmelcare Family Practice Pa 2230 N Wickham Rd Suite B Melbourne FL 32935 Ph: (321) 757-0600 |
| NPI Number | 1679511224 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 09/29/2022 |
| Medicare PECOS PAC ID | 1153426036 |
|---|---|
| Medicare Enrollment ID | O20070423000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679511224 | NPI | - | NPPES |
| 379144100 | Medicaid | FL | |
| 2001160 | Other | FL | AETNA HMO |
| 4847751001 | Other | FL | CIGNA |
| 57253 | Other | FL | BCBS |
| 02131 | Other | FL | UNIVERSAL HEALTHCARE |
| 27886 | Other | FL | WELLCARE STAYWELL |
| 5619422 | Other | FL | AETNA PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Murray Kimmel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134249444 PECOS PAC ID: 3971608852 Enrollment ID: I20070423000034 |
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