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Organization
SUNTREE ENDOCRINOLOGY
Active
Organization
SUNTREE ENDOCRINOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LUBY (BILLING MANAGER)
(321) 259-9500
Entity
Organization
Contact information
Practice address
6619 N WICKHAM RD, MELBOURNE, FL 32940-2006
(321) 259-9500
(321) 253-1777
Mailing address
6619 N WICKHAM RD, MELBOURNE, FL 32940-2006
(321) 259-9500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME53320
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
ME81283
FL
Other
Enumeration date
02/08/2018
Last updated
03/06/2025
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