Suntree Medical Associates, P.a. | |
6420 3rd St Suite 104 Rockledge FL 32955-5788 | |
(321) 757-9711 | |
(321) 253-1675 |
Full Name | Suntree Medical Associates, P.a. |
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Speciality | Internal Medicine |
Location | 6420 3rd St, Rockledge, Florida |
Authorized Official Name and Position | Carl Dominic Saladino (OWNER/PRESIDENT) |
Authorized Official Contact | 3217579711 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Suntree Medical Associates, P.a. 6420 3rd St Suite 104 Rockledge FL 32955-5788 Ph: (321) 757-9711 | Suntree Medical Associates, P.a. 6420 3rd St Suite 104 Rockledge FL 32955-5788 Ph: (321) 757-9711 |
NPI Number | 1265620744 |
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Provider Enumeration Date | 10/09/2007 |
Last Update Date | 10/09/2007 |
Medicare PECOS PAC ID | 9436111440 |
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Medicare Enrollment ID | O20041102000728 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265620744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME 55132 (Florida) | Primary |
Provider Name | Cynthia M Williford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568691590 PECOS PAC ID: 8325164288 Enrollment ID: I20100928001317 |
Provider Name | Carl D Saladino |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396725362 PECOS PAC ID: 8820050768 Enrollment ID: I20110131000347 |
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