| L3harris Family Medical Center | |
|
1800 W Hibiscus Blvd Ste 101 Melbourne FL 32901-2624 | |
| (321) 726-1600 | |
| (321) 726-1610 |
| Full Name | L3harris Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 W Hibiscus Blvd Ste 101, Melbourne, Florida |
| Authorized Official Name and Position | Julia Watt (CLINIC MANAGER) |
| Authorized Official Contact | 3217261600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L3harris Family Medical Center 1800 W Hibiscus Blvd Ste 101 Melbourne FL 32901-2624 Ph: (321) 726-1600 | L3harris Family Medical Center 1800 W Hibiscus Blvd Ste 101 Melbourne FL 32901-2624 Ph: (321) 726-1600 |
| NPI Number | 1174969703 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 3476793134 |
|---|---|
| Medicare Enrollment ID | O20130701000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174969703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Florida) | Primary |
| Provider Name | Milad Chrieki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184708216 PECOS PAC ID: 0143219881 Enrollment ID: I20040712000971 |
| Provider Name | Carol E Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609878883 PECOS PAC ID: 6002883980 Enrollment ID: I20040915000818 |
| Provider Name | Patricia A Buxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295728046 PECOS PAC ID: 6800850231 Enrollment ID: I20041116000629 |
| Provider Name | Nadine P Ramdeen Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558453308 PECOS PAC ID: 9234143371 Enrollment ID: I20060127000653 |
| Provider Name | Steven Farbowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659326353 PECOS PAC ID: 8729017710 Enrollment ID: I20130906000261 |
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