FLORIDA INSTITUTE OF TECHNOLOGY
NPI 1336881572
Family Medicine - Sports Medicine in Melbourne, FL

Q: What is Florida Institute Of Technology's NPI number?

The NPI number for Florida Institute Of Technology is 1336881572. It was assigned to this organization in the NPPES registry on April 8, 2022. The provider is doing business as Florida Tech Athletics.

Q: What is Florida Institute Of Technology's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since April 08, 2022

150 W UNIVERSITY BLVD, MELBOURNE, FL 32901(972) 367-4845 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Florida Institute Of Technology NPPES

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

FLORIDA INSTITUTE OF TECHNOLOGY (NPI 1336881572), doing business as Florida Tech Athletics, is a healthcare organization registered as a sports medicine in Melbourne, Florida and active in the NPI registry since April 2022. The organization lists Mouzon Bass, Administrator/agent, as its authorized official.

NPPES Registry Identity

NPI1336881572

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameFLORIDA INSTITUTE OF TECHNOLOGY

Location Address150 W UNIVERSITY BLVDMelbourne, FL 32901-8995

Mailing Address15305 Dallas Pkwy Ste 800Addison, TX 75001-6415

Phone(972) 367-4845

Organization SubpartNo

Authorized OfficialMouzon BassAdministrator/agent · (972) 367-4845

Enumeration DateApril 8, 2022

NPPES CertifiedApril 8, 2022

✔ NPI 1336881572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

150 W UNIVERSITY BLVD, Melbourne, FL 32901

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Other Names 1

Doing Business AsFlorida Tech Athletics

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

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

ABIGAIL BLACKMAN

Technician, Other

150 W UNIVERSITY BLVD
MELBOURNE, FL 32901

Brevard County (321) 674-8106

DR. IVY CHONG PHD

Psychologist

150 W UNIVERSITY BLVD, SCOTT CENTER FOR AUTISM TREATMENT
MELBOURNE, FL 32901

Brevard County (321) 674-8615

EMMA RIVERNIDER RBT

Behavior Analyst

150 W UNIVERSITY BLVD
MELBOURNE, FL 32901

Brevard County (321) 674-8106

DR. FRANK M WEBBE PH.D.

Psychologist (Exercise & Sports)

150 W UNIVERSITY BLVD, FLORIDA TECH SCHOOL OF PSYCHOLOGY
MELBOURNE, FL 32901

Brevard County (321) 674-8104

MS. ANA PAULA FERRARI SCOLA

Behavior Analyst

150 W UNIVERSITY BLVD
MELBOURNE, FL 32901

Brevard County (321) 674-8106

MS. DELARISE CECILIA STRACHAN

Behavior Technician

150 W UNIVERSITY BLVD
MELBOURNE, FL 32901

Brevard County (321) 674-8000

ELIZA JANE GOBEN BS, RBT

Behavior Technician

150 W UNIVERSITY BLVD
MELBOURNE, FL 32901

Brevard County (321) 674-8000

MRS. KATRINA L CREEL MS; BCBA

Behavior Analyst

150 W UNIVERSITY BLVD
MELBOURNE, FL 32901

Brevard County (321) 674-8106

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 Florida Institute Of Technology's NPI number?

The NPI number for Florida Institute Of Technology is 1336881572. It was assigned to this organization in the NPPES registry on April 8, 2022. The provider is doing business as Florida Tech Athletics.

Where is Florida Institute Of Technology located?

Florida Institute Of Technology is located at 150 W University Blvd, Melbourne, FL 32901. The listed phone number is (972) 367-4845.

What is Florida Institute Of Technology's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

What insurance does Florida Institute Of Technology accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida Institute Of Technology as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Institute Of Technology was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.