1. Home
  2. Directory
  3. Florida
  4. Melbourne
  5. General Practice
  6. NPI Profile

MEDI MELBOURNE LLC
NPI 1629520606
General Practice in Melbourne, FL

Active since October 26, 2016
7630 N WICKHAM RD STE 104, MELBOURNE, FL 32940(321) 610-7982(321) 610-7984 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medi Melbourne Llc NPPES

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

MEDI MELBOURNE LLC (NPI 1629520606) is a healthcare organization registered as a general practice in Melbourne, Florida and active in the NPI registry since October 2016. The organization lists Tom Willett, Owner, as its authorized official.

NPPES Registry Identity

NPI1629520606
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDI MELBOURNE LLC
Location Address7630 N WICKHAM RD STE 104Melbourne, FL 32940-8257
Mailing Address7630 N Wickham Rd Ste 104Melbourne, FL 32940-8257 · (321) 610-7982 · Fax (321) 610-7984
Phone(321) 610-7982
Fax(321) 610-7984
Organization SubpartNo
Authorized OfficialTom WillettOwner · (321) 610-7982
Enumeration DateOctober 26, 2016
✔ NPI 1629520606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7630 N WICKHAM RD STE 104, Melbourne, FL 32940
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 2

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

FLORIDA RHEUMATOLOGY CARE
Internal Medicine (Rheumatology)
7630 N WICKHAM RD STE 104
MELBOURNE, FL 32940
Brevard County (321) 725-1600
DR. LINNETTE LOPEZ LOPEZ MD
Internal Medicine (Rheumatology)
7630 N WICKHAM RD STE 104
MELBOURNE, FL 32940
Brevard County (321) 725-1600

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 Medi Melbourne LLC's NPI number?

The NPI number for Medi Melbourne LLC is 1629520606. It was assigned to this organization in the NPPES registry on October 26, 2016.

Where is Medi Melbourne LLC located?

Medi Melbourne LLC is located at 7630 N Wickham Rd Ste 104, Melbourne, FL 32940. The listed phone number is (321) 610-7982.

What is Medi Melbourne LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Medi Melbourne LLC was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.