Organization Active NPI

Arcand Family Practice LLC

  • Primary Care Clinic/Center
  • Viera, FL
National Provider Identifier
1124293238
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ARCAND FAMILY PRACTICE LLC
Practice address
8055 Spyglass Hill Rd Ste 103
Viera, FL 32940-8564
Phone
(321) 255-7334
Fax
(321) 255-7336
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Mr. Chris Robert Arcand
Title
Office Manager
Phone
(321) 255-7334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8055 Spyglass Hill Rd Ste 103
Viera, FL 32940-8564

Mailing address

8055 Spyglass Hill Rd Ste 103
Viera, FL 32940-8564
Phone (321) 255-7334

Other identifiers 1

IdentifierTypeStateIssuer
9N2PJOtherFLFLORIDA BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080916000130 FL Part B Supplier - Clinic/Group Practice 9638246762 Receives reassigned benefits from 1 practitioner
Practice locations: Viera, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1098013Arcand Family Practice8055 Spyglass Hill Rd Ste 103, Melbourne, FL 32940Certificate of waiverApr 7, 2027

National Provider Directory

National Provider Directory

Locations

21 Suntree Pl
Ste 102
Melbourne, FL 32940
Phone (321) 255-7334

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1124293238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 SPYGLASS HILL RD STE 103",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408564",
            "telephone_number": "321-255-7334",
            "fax_number": "321-255-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 SPYGLASS HILL RD STE 103",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408564",
            "telephone_number": "321-255-7334",
            "fax_number": "321-255-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCAND FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "ARCAND",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-255-7334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "9N2PJ",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Viera, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.