Organization
MELBOURNE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL MERCER (OPERATION MANAGER)
(321) 751-3862
Entity
Organization
Contact information
Practice address
1600 W EAU GALLIE BLVD, SUITE 102, MELBOURNE, FL 32935-4149
(321) 751-3862
(321) 751-3865
Mailing address
1600 W EAU GALLIE BLVD, SUITE 102, MELBOURNE, FL 32935-4149
(321) 751-3862
(321) 751-3865
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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