ACTAMD PLLC NPI 1649161977

NPI Information

  • NPI: 1649161977
  • Provider Name: ACTAMD PLLC
  • Classification: Preventive Medicine - 2083P0901X
  • Specialization: Public Health & General Preventive Medicine
  • Entity Type: Organization
  • Address: 3425 BAYSIDE LAKES BLVD SE # 10310114
    PALM BAY, FL
    ZIP 32909
  • Phone: (385) 229-9889

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NPI Details

ACTAMD PLLC is a public health and general preventive medicine preventive medicine in Palm Bay, FL. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. ACTAMD PLLC NPI is 1649161977. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3425 BAYSIDE LAKES BLVD SE # 10310114
PALM BAY, FL
ZIP 32909-867
Phone: (385) 229-9889

The provider's authorized official is Edward Callahan .
The authorized official title is President and has the following contact phone number (509) 679-2668.

The enumeration date for this NPI number is 7/14/2025 and was last updated on 9/19/2025.

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
12085R0204XRadiologyVascular & Interventional RadiologyNo
22083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

What is NPI?

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

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