Individual
THIERRY MOMPLAISIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 574-9188
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 574-9188
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME151632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112598700
—
FL
01
—
OI427
MEDICARE HF
FL
Enumeration date
10/12/2006
Last updated
06/25/2025
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