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COMMUNITY HEALTH OF MELBOURNE BEACH LLC NPI 1245665199


NPI Information

NPI: 1245665199
Provider Name: COMMUNITY HEALTH OF MELBOURNE BEACH LLC

Doing Business As: SURFSIDE PEDIATRICS

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D2166161

Address:
325 5TH AVE
SUITE 203
INDIALANTIC, FL
ZIP 32903
Phone: (321) 821-4882
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COMMUNITY HEALTH OF MELBOURNE BEACH LLC is a specialist in Indialantic, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COMMUNITY HEALTH OF MELBOURNE BEACH LLC NPI is 1245665199. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Surfside Pediatrics.

The provider's business location address is:

325 5TH AVE
SUITE 203
INDIALANTIC, FL
ZIP 32903-273
Phone: (321) 821-4882
Fax: (321) 821-4890

The provider's authorized official is Carolyn Paige Feltus-atkinson .
The authorized official title is Pediatrician and has the following contact phone number (321) 821-4882.

The CLIA number assigned to this NPI record is 10D2166161 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2013 and was last updated on 9/11/2013.


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
1174400000XSpecialistME54282FLORIDAYes

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: 5/5/2024

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