Medec Medical Care PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDEC MEDICAL CARE PLLC

Practice address

1270 N Wickham Rd Ste 9
Melbourne, FL 32935-8300

Phone

(321) 567-2211

Fax

(321) 286-0496

NPI assigned

Jan 25, 2021

Last updated

Jul 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Qazim Salia, PANPI 1972930717

Title

Owner

Phone

(312) 719-2211

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Qazim Salia, PA

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1972930717
  Medicare reassignment Authorized official
• Fernando Jimenez, MD

  • Cardiovascular Disease Physician
  • Coconut Creek, FL
  • NPI 1871531137
  Medicare reassignment NPD
• Michael A. Meloni, MD

  • Emergency Medicine Physician
  • Port St Lucie, FL
  • NPI 1902853971
  Medicare reassignment NPD
• Ralph Patrick Page, M.D.

  • Internal Medicine Physician
  • Rockledge, FL
  • NPI 1770569527
  NPD

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1386234268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 N WICKHAM RD STE 9",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358300",
            "telephone_number": "321-567-2211",
            "fax_number": "321-286-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N WICKHAM RD STE 9",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358300",
            "telephone_number": "321-567-2211",
            "fax_number": "321-286-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEC MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "SALIA",
        "authorized_official_first_name": "QAZIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-719-2211",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110804600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BCBS",
            "identifier": "E8X1N",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anisa Ann Mead, FNP
• Breanne Leigh Meagher
• Meberg & Cohen LC (Suntree-Viera Foot & Ankle Center)
• Randi Meberg, DPM
• Med Sounds Inc
• Medfast Family Physicians LLC
• Medfast Urgent Care Center, LLC
• Medfast Urgent Care Centers LLC
• Medfast Urgent Care Centers, LLC
• Medfast Urgent Care Centers, LLC

• Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.