| Merritt Island Walk-in Clinic Llc | |
|
1045 N Courtenay Pkwy Merritt Island FL 32953-4531 | |
| (321) 452-9255 | |
| (321) 452-5404 |
| Full Name | Merritt Island Walk-in Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1045 N Courtenay Pkwy, Merritt Island, Florida |
| Authorized Official Name and Position | Rajee Paul (MANGING MEMBER) |
| Authorized Official Contact | 3214529255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merritt Island Walk-in Clinic Llc 1045 N Courtenay Pkwy Merritt Island FL 32953-4531 Ph: (321) 452-9255 | Merritt Island Walk-in Clinic Llc 1045 N Courtenay Pkwy Merritt Island FL 32953-4531 Ph: (321) 452-9255 |
| NPI Number | 1265750400 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 05/12/2010 |
| Medicare PECOS PAC ID | 2961531215 |
|---|---|
| Medicare Enrollment ID | O20100525000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265750400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME95111 (Florida) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | ME95111 (Florida) | Primary |
| Provider Name | Rajee Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336133156 PECOS PAC ID: 8123112034 Enrollment ID: I20070924000205 |
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