Steven J Vanderby Md P.a. | |
4030 Minton Rd W Melbourne FL 32904-9559 | |
(321) 725-8222 | |
(321) 676-2299 |
Full Name | Steven J Vanderby Md P.a. |
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Speciality | Family Medicine |
Location | 4030 Minton Rd, W Melbourne, Florida |
Authorized Official Name and Position | Steven J Vanderby (SOLE PROPRIETOR) |
Authorized Official Contact | 3217258222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Steven J Vanderby Md P.a. 4030 Minton Rd W Melbourne FL 32904-9559 Ph: (321) 725-8222 | Steven J Vanderby Md P.a. 4030 Minton Rd W Melbourne FL 32904-9559 Ph: (321) 725-8222 |
NPI Number | 1851737373 |
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Provider Enumeration Date | 05/13/2013 |
Last Update Date | 05/13/2013 |
Medicare PECOS PAC ID | 2264670355 |
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Medicare Enrollment ID | O20130531000229 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851737373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0059801 (Florida) | Primary |
Provider Name | Steven J Vanderby |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518026269 PECOS PAC ID: 5890933980 Enrollment ID: I20130531000261 |
Brevard Internal Medicine & Walk-in Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2795 W New Haven Ave, W Melbourne, FL 32904 Phone: 321-622-8626 Fax: 321-622-8627 |