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MELBOURNE GYNECOLOGY
NPI 1336719061
Obstetrics & Gynecology - Gynecology in Melbourne, FL

Active since June 25, 2021CLIA 10D2075848 · Waiver
410 N WICKHAM RD STE 201, MELBOURNE, FL 32935(321) 242-0035(321) 242-0075 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melbourne Gynecology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELBOURNE GYNECOLOGY (NPI 1336719061) is a healthcare organization registered as a gynecology in Melbourne, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Erica Hernandez, Manager, as its authorized official.

NPPES Registry Identity

NPI1336719061
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameMELBOURNE GYNECOLOGY
Location Address410 N WICKHAM RD STE 201Melbourne, FL 32935-8668
Mailing AddressPo Box 9100Belfast, ME 04915-9100 · (561) 300-2410 · Fax (561) 235-7292
Phone(321) 242-0035
Fax(321) 242-0075
Organization SubpartYesParent: Florida Woman Care Llc
Authorized OfficialErica HernandezManager · (561) 300-2410
Enumeration DateJune 25, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1336719061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
410 N WICKHAM RD STE 201, Melbourne, FL 32935
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2075848

Melbourne Gynecology LLC · Melbourne, FL
Active · expires Apr 6, 2028
CLIA Number10D2075848
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorEsther R. Clayton
Laboratory Phone(321) 242-0035
Laboratory LocationMelbourne Gynecology LLC410 N Wickham Rd Ste 201, Melbourne, FL 32935
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTHER ROSE CLAYTON MD
Obstetrics & Gynecology (Gynecology)
410 N WICKHAM RD STE 201
MELBOURNE, FL 32935
Brevard County (321) 242-0035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melbourne Gynecology's NPI number?

The NPI number for Melbourne Gynecology is 1336719061. It was assigned to this organization in the NPPES registry on June 25, 2021.

Where is Melbourne Gynecology located?

Melbourne Gynecology is located at 410 N Wickham Rd Ste 201, Melbourne, FL 32935. The listed phone number is (321) 242-0035.

What is Melbourne Gynecology's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Melbourne Gynecology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2075848) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Melbourne Gynecology was last updated on June 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.