Organization Active NPI

Meridian Wellness Center

  • Medical Specialty Clinic/Center
  • Melbourne, FL
National Provider Identifier
1477207124
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MERIDIAN WELLNESS CENTER
Practice address
6550 N Wickham Rd
Melbourne, FL 32940-2049
Phone
(941) 284-5993
Fax
(321) 242-7679
NPI assigned
Feb 10, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Peter A Mondello
Title
Office Manager
Phone
(321) 961-7395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

6550 N Wickham Rd
Melbourne, FL 32940-2049

Mailing address

542 Pauma Valley CT
Melbourne, FL 32940-1917
Phone (321) 961-7395

National Provider Directory

National Provider Directory

Locations

6550 N Wickham Rd
Melbourne, FL 32940
Phone (941) 284-5993

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1477207124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 PAUMA VALLEY CT",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401917",
            "telephone_number": "321-961-7395",
            "fax_number": "321-242-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402049",
            "telephone_number": "941-284-5993",
            "fax_number": "321-242-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "A MONDELLO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-961-7395"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "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 Feb 10, 2022; 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.