SPARTAN HEALTH ALLIANCE LLC NPI 1497409767

NPI Information

  • NPI: 1497409767
  • Provider Name: SPARTAN HEALTH ALLIANCE LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: SUNTREE PSYCHIATRY
  • Address: 3040 N WICKHAM RD STE 3
    MELBOURNE, FL
    ZIP 32935
  • Phone: (321) 456-9653

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NPI Details

SPARTAN HEALTH ALLIANCE LLC is a psychiatric/mental health nurse practitioner in Melbourne, FL. SPARTAN HEALTH ALLIANCE LLC NPI is 1497409767. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Suntree Psychiatry.

The provider's business location address is:

3040 N WICKHAM RD STE 3
MELBOURNE, FL
ZIP 32935-369
Phone: (321) 456-9653
Fax: (321) 204-9168

The provider's authorized official is Harry W Carroll .
The authorized official title is Mgr and has the following contact phone number (954) 205-4551.

The enumeration date for this NPI number is 2/7/2022 and was last updated on 8/21/2023.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 3/30/2025

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