| Medfast Family Physicians Llc | |
|
7970 N Wickham Rd Suite #101 Melbourne FL 32940-8299 | |
| (321) 751-7222 | |
| (321) 751-6655 |
| Full Name | Medfast Family Physicians Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7970 N Wickham Rd, Melbourne, Florida |
| Authorized Official Name and Position | David T. Williams (MANAGING MEMBER) |
| Authorized Official Contact | 3217517222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medfast Family Physicians Llc 7970 N Wickham Rd Suite #101 Melbourne FL 32940-8299 Ph: (321) 751-7222 | Medfast Family Physicians Llc 7970 N Wickham Rd Suite #101 Melbourne FL 32940-8299 Ph: (321) 751-7222 |
| NPI Number | 1174792048 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 10/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174792048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS4050 (Florida) | Primary |
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