NPIMap

Organization Active NPI

Medfast Family Physicians LLC

  • Primary Care Clinic/Center
  • Melbourne, FL
National Provider Identifier
1174792048
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OS4050 Issued in FL
Legal business name
MEDFAST FAMILY PHYSICIANS LLC
Practice address
7970 N Wickham Rd
Suite #101
Melbourne, FL 32940-8299
Phone
(321) 751-7222
Fax
(321) 751-6655
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Dr. David T. Williams, D.O.NPI 1760484034
Title
Managing Member
Phone
(321) 751-7222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X OS4050 FL Primary

Addresses

Primary practice location

7970 N Wickham Rd
Suite #101
Melbourne, FL 32940-8299

Mailing address

7970 N Wickham Rd
Suite #101
Melbourne, FL 32940-8299
Phone (321) 751-7222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1174792048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7970 N WICKHAM RD",
            "address_2": "SUITE #101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408299",
            "telephone_number": "321-751-7222",
            "fax_number": "321-751-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7970 N WICKHAM RD",
            "address_2": "SUITE #101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408299",
            "telephone_number": "321-751-7222",
            "fax_number": "321-751-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFAST FAMILY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "321-751-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OS4050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.