| Suntree Endocrinology | |
|
6619 N Wickham Rd Melbourne FL 32940-2006 | |
| (321) 259-9500 | |
| Not Available |
| Full Name | Suntree Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 6619 N Wickham Rd, Melbourne, Florida |
| Authorized Official Name and Position | Kelly Luby (BILLING MANAGER) |
| Authorized Official Contact | 3212599500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suntree Endocrinology 6619 N Wickham Rd Melbourne FL 32940-2006 Ph: (321) 259-9500 | Suntree Endocrinology 6619 N Wickham Rd Melbourne FL 32940-2006 Ph: (321) 259-9500 |
| NPI Number | 1679072375 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 02/08/2018 |
| Medicare PECOS PAC ID | 7113273202 |
|---|---|
| Medicare Enrollment ID | O20180703000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679072375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME53320 (Florida) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME81283 (Florida) | Secondary |
| Provider Name | Ruben J Pipek |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952385981 PECOS PAC ID: 7517039621 Enrollment ID: I20100323000411 |
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