LIFEBRIDGE DIAGNOSTICS-MELBOURNE NPI 1609046606

NPI Information

LIFEBRIDGE DIAGNOSTICS-MELBOURNE is a point of service in Melbourne, FL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. LIFEBRIDGE DIAGNOSTICS-MELBOURNE NPI is 1609046606. The provider is registered as an organization entity type.

The provider's business location address is:

8059 SPYGLASS HILL RD STE 101
MELBOURNE, FL
ZIP 32940-566
Phone: (321) 574-8100
Fax: (866) 903-5688

The provider's authorized official is Taylor Jones .
The authorized official title is Vp Of Operations and has the following contact phone number (321) 574-8100.

The enumeration date for this NPI number is 3/5/2008 and was last updated on 3/5/2008.

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:

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