Madden Investments LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

HS7394 Issued in FL

Legal business name

MADDEN INVESTMENTS LLC

Practice address

1411 Highland Ave
Melbourne, FL 32935-6518

Phone

(321) 254-9777

NPI assigned

Jun 11, 2008

Organization subpart

Yes

Parent organization

MELBOURNE ATHLETIC CLUBAs reported in NPPES

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

Authorized official

Name

Rick J Lorraine

Title

Owner

Phone

(321) 254-9777

Specialties & licenses 1

Addresses

Other names 1

• Melbourne Athletic Club Physical Therapy Doing business as

Part of

Madden Investments LLC

Locations

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1780844969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 HIGHLAND AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356518",
            "telephone_number": "321-254-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 HIGHLAND AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356518",
            "telephone_number": "321-254-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDEN INVESTMENTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MELBOURNE ATHLETIC CLUB",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "LORRAINE",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-254-9777"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HS7394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melbourne Athletic Club Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael James Mackay, D.M.D.
• John David Mackenney, DPM
• Kristen Marie Macleod
• Cassandra Elaine Macmillian
• Michelle Jane Madan, ARNP
• Kateria Shantal Madden
• Sharifa K Maddix, MD
• Dara Maddox
• Esther G Madeira
• Deborah Madelon

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.