PALM BAY ANESTHESIA INC NPI 1780617738

NPI Information

  • NPI: 1780617738
  • Provider Name: PALM BAY ANESTHESIA, INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1051 HICKORY ST
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 784-3700

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NPI Details

PALM BAY ANESTHESIA, INC is a clinic center in Melbourne, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PALM BAY ANESTHESIA, INC NPI is 1780617738. The provider is registered as an organization entity type.

The provider's business location address is:

1051 HICKORY ST
MELBOURNE, FL
ZIP 32901-962
Phone: (321) 784-3700
Fax: (321) 784-4090

The provider's authorized official is Mark Vandenbosch .
The authorized official title is Owner and has the following contact phone number (321) 784-3700.

The enumeration date for this NPI number is 7/9/2006 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
1261Q00000XClinic/CenterYes

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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