Organization
MELBOURNE AND PALM BAY NEPHROLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCHELLE KAY HOFELDT M.D. (OWNER, SOLE ENTITY)
(772) 581-2750
Entity
Organization
Contact information
Practice address
7770 BAY ST, SUITE 13, SEBASTIAN, FL 32958-3427
(772) 581-2750
(772) 581-8362
Mailing address
7770 BAY ST, SUITE 13, SEBASTIAN, FL 32958-3427
(772) 581-2750
(772) 581-8362
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME82565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261687400
—
FL
Enumeration date
10/24/2007
Last updated
11/18/2008
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