| Pediatric Wiazards | |
|
1310 W Eau Gallie Blvd Suite C Melbourne FL 32935-5300 | |
| (321) 255-3434 | |
| (321) 255-0963 |
| Full Name | Pediatric Wiazards |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1310 W Eau Gallie Blvd, Melbourne, Florida |
| Authorized Official Name and Position | David A. Helft (PEDIATRICIAN) |
| Authorized Official Contact | 3212553434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Wiazards 1310 W Eau Gallie Blvd Suite C Melbourne FL 32935-5300 Ph: (321) 255-3434 | Pediatric Wiazards 1310 W Eau Gallie Blvd Suite C Melbourne FL 32935-5300 Ph: (321) 255-3434 |
| NPI Number | 1730509811 |
|---|---|
| Provider Enumeration Date | 04/16/2014 |
| Last Update Date | 04/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730509811 | NPI | - | NPPES |
| 261371900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | BH7272898 (Florida) | Primary |
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