Fcid Medical, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

FCID MEDICAL, INC.

Practice address

709 S Harbor City Blvd Ste 100
Melbourne, FL 32901-1936

Phone

(321) 725-2225

Fax

(321) 723-3996

NPI assigned

Dec 1, 2020

Last updated

Dec 1, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Dawn Bean

Title

Director of Medical Operations

Phone

(321) 802-5857

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: kbean@myfcmg.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1093310872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011936",
            "telephone_number": "321-725-2225",
            "fax_number": "321-723-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011936",
            "telephone_number": "321-725-2225",
            "fax_number": "321-723-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCID MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL OPERATIONS",
        "authorized_official_telephone_number": "321-802-5857"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kbean@myfcmg.com",
            "affiliation": "Y",
            "affiliationName": "First Choice Medical Group of Brevard LLC",
            "address_1": "709 S Harbor City Blvd Ste 100",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329011936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jack Adam Fasteen
• Lawrence Wayne Faulkner, OT
• Jennifer Favino-Sher, SLP
• Anita Fazeli, DO
• John A. Fazio
• Robyn Feaganes
• Kara Lockwood Fears, BS, MS
• Cheryl L Featherhoff, PT
• Caitlin Featherston, ARNP
• Isabelle Elise Federico

• Urgent Care Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.