Organization · Type 2 NPI
Florida East Coast Health Services, LLC
Gerontology Nurse Practitioner · Melbourne, FL
NPI number
1407379142
Active
Practice location
101 E Florida Ave
Melbourne, FL 32901-8301
Mailing address
7904 S Highway A1A
Melbourne Beach, FL 32951-3911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | ARNP9202808 (FL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1407379142
Florida East Coast Health Services, LLC's National Provider Identifier is 1407379142, issued on Jul 25, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Melbourne, FL. The record was last updated on Jul 25, 2017.