| Premier Urgent Carebadolato Family Health | |
|
6300 N Wickham Rd Suite 101 Melbourne FL 32940-2028 | |
| (321) 253-2169 | |
| (321) 253-1720 |
| Full Name | Premier Urgent Carebadolato Family Health |
|---|---|
| Speciality | Family Medicine |
| Location | 6300 N Wickham Rd, Melbourne, Florida |
| Authorized Official Name and Position | David Badolato (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3212532169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Urgent Carebadolato Family Health 6300 N Wickham Rd Suite 101 Melbourne FL 32940-2028 Ph: (321) 253-2169 | Premier Urgent Carebadolato Family Health 6300 N Wickham Rd Suite 101 Melbourne FL 32940-2028 Ph: (321) 253-2169 |
| NPI Number | 1659316941 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 09/28/2009 |
| Medicare PECOS PAC ID | 1557322286 |
|---|---|
| Medicare Enrollment ID | O20041027000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659316941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher M Galloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689619108 PECOS PAC ID: 9830182435 Enrollment ID: I20040407001682 |
| Provider Name | Frank J Listello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417950429 PECOS PAC ID: 4880663145 Enrollment ID: I20041002000089 |
| Provider Name | Yvette M Lopez Granberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750384772 PECOS PAC ID: 3375504004 Enrollment ID: I20041216000725 |
| Provider Name | Stephen W Badolato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194728832 PECOS PAC ID: 7810085610 Enrollment ID: I20071112000588 |
| Provider Name | David W Badolato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194728121 PECOS PAC ID: 8820050495 Enrollment ID: I20071228000432 |
| Provider Name | Danny P Berk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871588749 PECOS PAC ID: 0749472553 Enrollment ID: I20101012001172 |
| Provider Name | Brad Nelson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770871659 PECOS PAC ID: 0840468427 Enrollment ID: I20110726000665 |
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