Port St John Clinic | |
7227 N Us Highway 1 Cocoa FL 32927-5020 | |
(321) 877-2740 | |
Not Available |
Full Name | Port St John Clinic |
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Speciality | Clinic/Center |
Location | 7227 N Us Highway 1, Cocoa, Florida |
Authorized Official Name and Position | Angela Craig (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 3212416834 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Port St John Clinic Po Box 1137 Melbourne FL 32902-1137 Ph: (321) 952-9696 | Port St John Clinic 7227 N Us Highway 1 Cocoa FL 32927-5020 Ph: (321) 877-2740 |
NPI Number | 1962857417 |
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Provider Enumeration Date | 05/03/2016 |
Last Update Date | 06/17/2016 |
Medicare PECOS PAC ID | 0446201768 |
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Medicare Enrollment ID | O20160621000001 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962857417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ana Conde Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2428 Clearlake Rd Bldg K, Cocoa, FL 32922 Phone: 321-368-3862 | |
Ricardo Antonio Henriques M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Delannoy Ave, Cocoa, FL 32922 Phone: 321-631-6995 Fax: 321-633-1004 | |
Brevard Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Blake Ave, Bldg G, Cocoa, FL 32922 Phone: 321-633-6391 Fax: 321-633-6441 | |
Steward Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 W Point Dr, Cocoa, FL 32922 Phone: 615-467-4158 Fax: 615-467-1267 | |
Brevard Health Alliance Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Pineda St, Cocoa, FL 32922 Phone: 321-241-6800 Fax: 321-241-6888 | |
Miracle Pain Relief Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Willard St Ste C, Cocoa, FL 32922 Phone: 321-477-2273 | |
Rameshwar N Mathur Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6250 N Us 1, Cocoa, FL 32927 Phone: 321-631-6402 Fax: 321-633-7041 |