SUD FAC OPT
NPI 1467193623
Internal Medicine in Melbourne, FL

Active since April 04, 2022
1030 VENETIAN DR UNIT 202, MELBOURNE, FL 32904(954) 260-0104 Get Directions Write a Review

NPPES record last updated: August 6, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 6, 2022, Apr 4, 2022 (2 updates tracked since 2022).

About Sud Fac Opt NPPES

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

SUD FAC OPT (NPI 1467193623) is a healthcare organization registered as an internal medicine in Melbourne, Florida and active in the NPI registry since April 2022. The organization lists Jay Bouldin, Research Director, as its authorized official.

NPPES Registry Identity

NPI1467193623
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUD FACILITY OPTIMIZATION, LLC
Location Address1030 VENETIAN DR UNIT 202Melbourne, FL 32904-8466
Mailing Address1030 Venetian Dr Unit 202Melbourne, FL 32904-8466 · (954) 260-0104
Organization SubpartNo
Authorized OfficialJay BouldinResearch Director · (321) 989-2187
Enumeration DateApril 4, 2022
Last NPPES UpdateAugust 6, 20222 updates tracked since enumeration
NPPES CertifiedAugust 6, 2022
NPI 1467193623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedClinic/Center · ResearchTaxonomy 261QR1100X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1030 VENETIAN DR UNIT 202, Melbourne, FL 32904

Other Names 1

Doing Business AsSud Fac Opt

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

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 Sud Facility Optimization, LLC's NPI number?

The NPI number for Sud Facility Optimization, LLC is 1467193623. It was assigned to this organization in the NPPES registry on April 4, 2022. The provider is doing business as Sud Fac Opt.

Where is Sud Facility Optimization, LLC located?

Sud Facility Optimization, LLC is located at 1030 Venetian Dr Unit 202, Melbourne, FL 32904. The listed phone number is (954) 260-0104.

What is Sud Facility Optimization, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Sud Facility Optimization, LLC was last updated on August 6, 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.