NPI 1245479591

Internal Medicine

Organisation Specialist Melbourne, FL

Practice location

Address: 20 E Melbourne Ave STE 104, Melbourne, FL 32901-5970
Phone: (321) 951-7404
Fax: (321) 951-1610

Authorised official

Name: Hilbert C Zeballos
Title: Mgrm
Phone: (321) 951-7404

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1245479591
Entity type: Organization
NPI issued: 10 Feb 2009
Record last updated: 10 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.