Medical Technology Transfer Corporation
Organization Active NPI Primary Care Clinic/Center · Melbourne, FL
NPI 1104947217 · NPPES record last updated Aug 25, 2008
Key facts
- NPI
- 1104947217
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- MEDICAL TECHNOLOGY TRANSFER CORPORATION
- Practice address
- 1800 W Hibiscus Blvd Ste 101
Melbourne, FL 32901-2624 - Phone
- (321) 726-1600
- Fax
- (321) 726-1610
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lynn Sprunger, RN
- Title
- Director of Operations
- Phone
- (321) 726-1609
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 1
Practitioners 82
-
Lewis C Bean, M.D.
-
Alan K Marumoto, MD
-
James Ikemefuna Okoh, M.D.
-
Steven D Picerne, M.D.
-
David J Pocoski, MD
-
Mark Paul Preston, M.D., J.D.
-
Adel Abdalla, M.D.
-
Sandra L Armstrong, ARPN
-
Ghizlane Bouzghar Bahij, M.D.
-
Gregg A Baran, MD
-
Hadi Bazzi, D.O.
-
Hemant D Chheda, MD
-
Clifford R Davis, MD
-
Chad Whesley Engel, M.D.
-
John C Feldman, MD
-
Travis Foster, MD
-
Joseph Freedman, M.D., MBA
-
Joann M Gierbolini, M.D.
-
Concetta Giuliano, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000360 | FL | Part B Supplier - Clinic/Group Practice | 1658265079 |
Receives reassigned benefits from 81 practitioners 3 other NPIs on this enrollment Practice locations: Fort Myers, FL; Melbourne, FL; Parrish, FL; West Palm Beach, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
1800 W Hibiscus Blvd Ste 101
Melbourne, FL 32901-2624
Mailing address
1800 W Hibiscus Blvd Ste 101
Melbourne, FL 32901-2624
Phone (321) 726-1600
Other names
- Harris Family Medical Center
Other providers in Melbourne, FL
- Medi Melbourne LLC
- Medi Melbourne LLC
- Medical Applications and Services
- Medical Associates of Brevard LLC
- Medical Diagnostic Clinics Inc
- Medical Technology Transfer Corporation
- Medical Technology Transfer Corporation
- Medicomp Inc
- Roberto Santos Medina
- Jackson Craig Meeker
All providers in Melbourne, FL · Primary Care Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.