MELBOURNE SURGERY CENTER, LLC (NPI# 1013309459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013309459 |
| Entity Type | Organization |
| Organization Name | MELBOURNE SURGERY CENTER, LLC |
| Other Organization Name | MELBOURNE SURGERY CENTER |
| Practice Address |
95 Bulldog Blvd Suite 104 Melbourne FL 32901-3332 |
| Practice Telephone | 3219529800 |
| Mailing Telephone | 3219529800 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |
| Authorized Official Name | PETER J CLEMENS IV (VP) |
| Authorized Official Telephone | 2055452572 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Melbourne Surgery Center | Doing Business As Name - Organization |
| Street Address |
95 BULLDOG BLVD SUITE 104 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174594584 | Sheridan Surgery Center | Clinic/Center | 95 Bulldog Blvd, Ste104, Melbourne, FL 32901-3332 | 2006-02-01 |
| 1164939971 | Beachside Anesthesia Inc | Anesthesiology | 95 Bulldog Blvd, Melbourne, FL 32901-3332 | 2018-01-02 |
| 1013353200 | Melbourne Medical Laboratory LLC | Clinical Medical Laboratory | 95 Bulldog Blvd, Suite 103, Melbourne, FL 32901-3332 | 2013-05-15 |
| 1134371933 | Omnihealthcare Inc | General Practice | 95 Bulldog Blvd, Suite 202, Melbourne, FL 32901-3188 | 2008-10-13 |
| 1346355104 | Sharon Vargo | Registered Nurse | 95 Bulldog Blvd, Ste 101, Melbourne, FL 32901-3332 | 2006-08-20 |
| 1508880865 | Kathleen Evans | Nutritionist | 95 Bulldog Blvd, Ste 101, Melbourne, FL 32901-3332 | 2006-07-27 |
| 1053384123 | Marianne Benek-edwards | Physical Therapist | 95 Bulldog Blvd, Ste 200, Melbourne, FL 32901-3332 | 2006-02-09 |
| 1134191323 | Omni Healthcare, Inc. | Family Medicine | 95 Bulldog Blvd, Ste 202, Melbourne, FL 32901-3332 | 2006-02-02 |
| 1598736985 | Omni Healthcare, Inc. | Clinical Medical Laboratory | 95 Bulldog Blvd, Ste 202, Melbourne, FL 32901-3332 | 2006-02-01 |
| 1699751529 | Reinaldo Gaspar Tirado-bernardini | Internal Medicine | 95 Bulldog Blvd, Ste 101, Melbourne, FL 32901-3332 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527680 | Intracoastal Surgery Center, LLC | Clinic/Center | 2200 W Eau Gallie Blvd Ste 100, Melbourne, FL 32935-3166 | 2018-08-08 |
| 1669803391 | Surgery Center of Viera LLC | Clinic/Center | 7955 Spyglass Hill Rd Ste B, Melbourne, FL 32940-8249 | 2013-12-05 |
| 1558694034 | Brevard Specialty Surgery Center LLC | Clinic/Center | 95 Bulldog Boulevard, Suite 104, Melbourne, FL 32901-3175 | 2009-09-15 |
| 1306087135 | Crane Creek Surgical Partners, LLC | Clinic/Center | 2222 South Harbor City Blvd, Suite 540, Melbourne, FL 32901 | 2009-03-06 |
| 1164473922 | Ophthalmology Center of Brevard Lp | Clinic/Center | 719 E New Haven Ave, Melbourne, FL 32901-5459 | 2006-05-15 |
| 1558323956 | Melbourne Surgery Center Lp | Clinic/Center | 1340 Medical Park Dr, Suite 101, Melbourne, FL 32901-3246 | 2006-04-03 |
| 1174594584 | Sheridan Surgery Center | Clinic/Center | 95 Bulldog Blvd, Ste104, Melbourne, FL 32901-3332 | 2006-02-01 |
| 1255311635 | Melbourne Asc Lp | Clinic/Center | 1401 S Apollo Blvd, Suite B, Melbourne, FL 32901-3179 | 2006-01-20 |
| 1063495257 | Doctors Surgical Partnership Ltd | Clinic/Center | 1035 S Apollo Blvd, Melbourne, FL 32901-1969 | 2005-11-22 |
| 1568644490 | Harbor City Surgical Care | Clinic/Center | 211 E New Haven Ave, Suite 1, Melbourne, FL 32901-4503 | 2007-12-03 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.