MEDICAL TECHNOLOGY TRANSFER CORPORATION (NPI# 1104947217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104947217 |
| Entity Type | Organization |
| Organization Name | MEDICAL TECHNOLOGY TRANSFER CORPORATION |
| Other Organization Name | HARRIS FAMILY MEDICAL CENTER |
| Practice Address |
1800 W Hibiscus Blvd Ste 101 Melbourne FL 32901-2624 |
| Practice Telephone | 3217261600 |
| Practice Fax Number | 3217261610 |
| Mailing Telephone | 3217261600 |
| Mailing Fax Number | 3217261610 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-08-25 |
| Authorized Official Name | MRS. LYNN SPRUNGER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3217261609 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Harris Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295044824 | Medical Technology Transfer Corporation | Clinic/Center | 590 Malabar Road, Suite 6, Palm Bay, FL 32907 | 2010-09-30 |
| 1679742787 | Medical Technology Transfer Corporation | Clinic/Center | 590 Malabar Rd Se, Suite 7, Palm Bay, FL 32907-3108 | 2008-02-22 |
| 1871579375 | Medical Technology Transfer Corporation | Pharmacy | 1800 W Hibiscus Blvd, Suite 101, Melbourne, FL 32901-2629 | 2005-12-16 |
| Street Address |
1800 W HIBISCUS BLVD STE 101 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552917 | Sung Il Taylor | Family Medicine | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2005-07-18 |
| 1871158113 | University Center Medical LLC | Pharmacy | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2019-05-02 |
| 1699012401 | Julie Shaw | Pharmacist | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2013-01-14 |
| 1871733428 | Lauren B Harris | Physician Assistant | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2009-02-23 |
| 1184708216 | Milad Chrieki | Family Medicine | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2006-10-25 |
| 1881778926 | Michael D Wolfington | Family Medicine | 1800 W Hibiscus Blvd Ste 101, Melbourne, FL 32901-2624 | 2006-10-25 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842246 | Buddha P.a | Clinic/Center | 1731 Banaghen Dr, Melbourne, FL 32940-6012 | 2020-05-12 |
| 1265871248 | Kidspiration Pediatric Therapy Services Too, Inc. | Clinic/Center | 905 East Main St, Melbourne, AR 72556 | 2013-06-23 |
| 1700412814 | Partners In Community Care, LLC | Clinic/Center | 445 Pineda Ct, Melbourne, FL 32940-7555 | 2020-03-20 |
| 1467014431 | Via Healthcare LLC | Clinic/Center | 1341 Bedford Dr, Melbourne, FL 32940-1986 | 2019-07-01 |
| 1508352485 | Kidspiration Pediatric Therapy Services Too, Inc. | Clinic/Center | 889 Main St, Melbourne, AR 72556-8205 | 2018-07-03 |
| 1366835795 | Melbourne Medical LLC | Clinic/Center | 1600 W Eau Gallie Blvd, Suite 102, Melbourne, FL 32935-4149 | 2015-03-10 |
| 1730509811 | Pediatric Wiazards | Clinic/Center | 1310 W Eau Gallie Blvd, Suite C, Melbourne, FL 32935-5300 | 2014-04-16 |
| 1174969703 | University Center Medical LLC | Clinic/Center | 1800 W Hibiscus Blvd, Suite 105, Melbourne, FL 32901-2629 | 2013-05-22 |
| 1053615179 | Wellspring Medical Center LLC | Clinic/Center | 21 Suntree Pl, Suite 101, Melbourne, FL 32940-7600 | 2011-01-04 |
| 1437303385 | Melbourne Community Health Center | Clinic/Center | 15 E Hibiscus Blvd, Melbourne, FL 32901-3101 | 2008-11-05 |
| 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.