Community Health of Melbourne Beach LLC
Organization Active NPI Specialist · Indialantic, FL
NPI 1245665199 · NPPES record last updated Sep 11, 2013
Key facts
- NPI
- 1245665199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- ME54282 (FL)
- Legal business name
- COMMUNITY HEALTH OF MELBOURNE BEACH LLC
- Practice address
- 325 5TH Ave
Suite 203
Indialantic, FL 32903-4273 - Phone
- (321) 821-4882
- Fax
- (321) 821-4890
- NPI assigned
- Sep 11, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY HEALTH OF TALLAHASSEE
Authorized official
- Name
- Dr. Carolyn Paige Feltus-Atkinson, MD
- Title
- Pediatrician
- Phone
- (321) 821-4882
Parent organization (reported in NPPES) 1
Practitioners 1
National Provider Directory
- Part of
- Community Health of Tallahassee LLC
Locations
325 5th Ave
Ste 203
Indialantic, FL 32903
Phone (321) 821-4882
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | ME54282 | FL | Yes |
Addresses
Primary practice location
325 5TH Ave
Suite 203
Indialantic, FL 32903-4273
Mailing address
325 5TH Ave
Suite 203
Indialantic, FL 32903-4273
Phone (321) 821-4882
Other names
- Surfside Pediatrics
Other providers in Indialantic, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.