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MEDI MELBOURNE LLC
NPI 1700256450
General Practice in Melbourne, FL

Active since October 06, 2015
7630 N WICKHAM RD, SUITE 104, MELBOURNE, FL 32940(321) 610-7982 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 1700256450) is a healthcare organization registered as a general practice in Melbourne, Florida and active in the NPI registry since October 2015. The organization lists Thomas K Willett, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1700256450
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDI MELBOURNE LLC
Location Address7630 N WICKHAM RD, SUITE 104Melbourne, FL 32940-8257
Mailing Address412 E Madison St, Suite 1100Tampa, FL 33602-4601
Phone(321) 610-7982
Organization SubpartNo
Authorized OfficialThomas K WillettManaging Member · (813) 245-5305
Enumeration DateOctober 6, 2015
Last NPPES UpdateOctober 26, 2016
✔ NPI 1700256450 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, Melbourne, FL 32940
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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

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 1700256450. It was assigned to this organization in the NPPES registry on October 6, 2015.

Where is Medi Melbourne LLC located?

Medi Melbourne LLC is located at 7630 N Wickham Rd Suite 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.