Organization
FAMILY PRATICE OF SUNTREE AND VIERA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK GIRARD DITZ MD (PRESIDENT)
(321) 253-3944
Entity
Organization
Contact information
Practice address
2 SUNTREE PL, MELBOURNE, FL 32940-7689
(321) 253-3944
(321) 253-4990
Mailing address
2 SUNTREE PL, MELBOURNE, FL 32940-7689
(321) 253-3944
(321) 253-4990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME79520
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K2822
MEDICARE PTAN
FL
Enumeration date
10/09/2007
Last updated
01/29/2024
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