Melbourne Urgent Care, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME88505 Issued in FL

Legal business name

MELBOURNE URGENT CARE, LLC

Practice address

187 S Wickham Rd
Suite 101
Melbourne, FL 32904-1123

Phone

(321) 953-9981

Fax

(321) 953-0212

NPI assigned

Jul 21, 2005

Last updated

Aug 22, 2020By 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

Krishna S Vara, M.DNPI 1922126887

Title

Medical Director

Phone

(321) 953-9981

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Krishna S Vara, M.D

  • Family Medicine Physician
  • W Melbourne, FL
  • NPI 1922126887
  Authorized official Same address or phone

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639178510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 S WICKHAM RD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041123",
            "telephone_number": "321-953-9981",
            "fax_number": "321-953-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 S WICKHAM RD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041123",
            "telephone_number": "321-953-9981",
            "fax_number": "321-953-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELBOURNE URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARA",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "321-953-9981",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME88505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melbourne Podiatry Associates, P.a. (Melbourne Podiatry Associates)
• Melbourne Surgery Center LP
• Melbourne Surgery Center, LLC (Melbourne Surgery Center)
• Melbourne Terrace RCC, LLC (Melbourne Terrace Rehabilitation Center)
• Melbourne United Laser Vision Association LLC
• Melbourne Vascular & Endovascular Center PA
• Coralys Andrea Melendez Tur, PHARMD
• Jennifer Mary Melendez
• Isabela Melgaco Tavares Cruz
• Sandor Melian, PA-C

• 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 Aug 22, 2020; 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.