Organization Active NPI

MD Viera Healthcare, PA

  • Family Medicine Physician
  • Melbourne, FL
National Provider Identifier
1730551664
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME85264 Issued in FL
Legal business name
MD VIERA HEALTHCARE, PA
Practice address
7000 Spyglass CT
Melbourne, FL 32940-8288
Phone
(321) 544-5298
Fax
(888) 370-3210
NPI assigned
Oct 30, 2015
Last updated
Nov 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Loquita Allaire
Title
Agent
Phone
(321) 544-5298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME85264 FL Primary

Addresses

Primary practice location

7000 Spyglass CT
Melbourne, FL 32940-8288

Mailing address

7000 Spyglass Court
Ste 130
Melbourne, FL 32940
Phone (321) 544-5298

National Provider Directory

National Provider Directory

Locations

7000 Spyglass Ct
Viera, FL 32940
Phone (321) 241-6543

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1730551664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SPYGLASS COURT",
            "address_2": "STE 130",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-544-5298",
            "fax_number": "888-370-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SPYGLASS CT",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408288",
            "telephone_number": "321-544-5298",
            "fax_number": "888-370-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD VIERA HEALTHCARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "ALLAIRE",
        "authorized_official_first_name": "LOQUITA",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "321-544-5298"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85264",
            "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 Nov 20, 2015; 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.