MELBOURNE ATHLETIC CLUB PHYSICAL THERAPY
NPI 1780844969
Clinic/Center - Health Service in Melbourne, FL
Active since June 11, 2008
About Melbourne Athletic Club Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELBOURNE ATHLETIC CLUB PHYSICAL THERAPY (NPI 1780844969) is a healthcare organization registered as a health service in Melbourne, Florida and active in the NPI registry since June 2008. The organization lists Rick J Lorraine, Owner, as its authorized official.
NPPES Registry Identity
NPI1780844969
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMADDEN INVESTMENTS LLC
Location Address1411 HIGHLAND AVEMelbourne, FL 32935-6518
Mailing Address1411 Highland AveMelbourne, FL 32935-6518 · (321) 254-9777
Phone(321) 254-9777
Organization SubpartYesParent: Melbourne Athletic Club
Authorized OfficialRick J LorraineOwner · (321) 254-9777
Enumeration DateJune 11, 2008
✔ NPI 1780844969 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in FL · HS7394
1411 HIGHLAND AVE, Melbourne, FL 32935
Other Names 1
Doing Business AsMelbourne Athletic Club Physical Therapy
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780844969, enumerated as an "organization" on June 11, 2008.
The provider is located at 1411 HIGHLAND AVE MELBOURNE, FL 32935 and the phone number is (321) 254-9777.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
