PALM BAY ANESTHESIA, INC (NPI# 1780617738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780617738 |
| Entity Type | Organization |
| Organization Name | PALM BAY ANESTHESIA, INC |
| Practice Address |
1051 Hickory St Melbourne FL 32901-1962 |
| Mailing Address |
Po Box 320129 Melbourne FL 32932 |
| Practice Telephone | 3217843700 |
| Practice Fax Number | 3217844090 |
| Mailing Telephone | 3217843700 |
| Mailing Fax Number | 3217844090 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK VANDENBOSCH (OWNER) |
| Authorized Official Telephone | 3217843700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1051 HICKORY ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710036884 | Joyce Drew | Anesthesiology | 1051 Hickory St, Melbourne, FL 32901-1962 | 2007-01-09 |
| 1194888776 | Michael Willis | Anesthesiology | 1051 Hickory St, Melbourne, FL 32901-1962 | 2006-12-18 |
| 1043324536 | Raymond Crigger | Anesthesiology | 1051 Hickory St, Melbourne, FL 32901-1962 | 2006-08-19 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907828 | Total Spine & Wellness | Clinic/Center | 1747 Evans Rd Ste 103, Melbourne, FL 32904-3869 | 2020-09-16 |
| 1477177004 | Space Coast Advanced Practice Consultants LLC | Clinic/Center | 115 Hickory St Ste 204, Melbourne, FL 32904-3505 | 2020-05-29 |
| 1558502492 | Atlantic Cardionet | Clinic/Center | 1305 S Hickory St, Melbourne, FL 32901-3223 | 2009-03-23 |
| 1164525481 | Atlantic Cardiolink | Clinic/Center | 1305 Hickory St, Melbourne, FL 32901-3223 | 2006-09-06 |
| 1265455133 | Unconditional Love Inc. | Clinic/Center | 1495 N. Harbor City Blvd., Suite F, Melbourne, FL 32935-6572 | 2006-07-25 |
| 1639178510 | Melbourne Urgent Care, LLC | Clinic/Center | 187 S Wickham Rd, Suite 101, Melbourne, FL 32904-1123 | 2005-07-21 |
| 1295290708 | Harbor City Hearing Solutions | Clinic/Center | 7155 Murrell Rd Ste 101, Melbourne, FL 32940-8258 | 2019-02-08 |
| 1457823080 | Medfast Urgent Care Center, LLC | Clinic/Center | 2113 Sarno Rd, Melbourne, FL 32935-3001 | 2018-12-20 |
| 1619445087 | Children's Home Society of Florida | Clinic/Center | 326 Croton Rd, Melbourne, FL 32935-6340 | 2018-11-05 |
| 1902318108 | Audiology Services Company Usa, LLC | Clinic/Center | 1106 W New Haven Ave, Melbourne, FL 32904-4056 | 2017-10-27 |
| 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.