Associate Medical Management, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ASSOCIATE MEDICAL MANAGEMENT, INC

Practice address

2105 Palm Bay Rd NE
Suite 1-W
Palm Bay, FL 32905-2937

Phone

(321) 327-5910

Fax

(321) 327-5912

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Morris Evans, PA-C

Title

President

Phone

(321) 327-5910

Specialties & licenses 1

Addresses

Other names 1

• Community Walk-In Clinic Doing business as

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1295752053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 PALM BAY RD NE",
            "address_2": "SUITE 1-W",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052937",
            "telephone_number": "321-327-5910",
            "fax_number": "321-327-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 PALM BAY RD NE",
            "address_2": "SUITE 1-W",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052937",
            "telephone_number": "321-327-5910",
            "fax_number": "321-327-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATE MEDICAL MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-327-5910",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Walk-In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carol Atkinson, PHD, LMFT

• Primary Care Clinic/Center in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.