JOHN J BOMALASKI MD PA NPI 1174596167

NPI Information

  • NPI: 1174596167
  • Provider Name: JOHN J BOMALASKI MD PA
  • Classification: Obstetrics & Gynecology - 207VX0201X
  • Specialization: Gynecologic Oncology
  • Entity Type: Organization
  • Address: 7000 SPYGLASS CT
    SUITE 300
    MELBOURNE, FL
    ZIP 32940
  • Phone: (321) 752-0944

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NPI Details

JOHN J BOMALASKI MD PA is a gynecologic oncology obstetrics gynecology in Melbourne, FL. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. JOHN J BOMALASKI MD PA NPI is 1174596167. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7000 SPYGLASS CT
SUITE 300
MELBOURNE, FL
ZIP 32940-288
Phone: (321) 752-0944
Fax: (321) 752-0756

The provider's authorized official is John J Bomalaski .
The authorized official title is Owner and has the following contact phone number (321) 434-4656.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0201XObstetrics & GynecologyGynecologic OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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