Clow Integrated Medical Center PA
NPI #1134961287 in West Melbourne, Florida
Provider Information
- NPI Number
- 1134961287
- Entity Type
- Organization
- Organization Name
- Clow Integrated Medical Center PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SPACE COAST CORPORATE HEALTH SERVICE P A
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 10, 2024
- Last Updated
- Sep 3, 2024
Practice Location
- Address
- 145 PALM BAY RD NE STE 121
- City
- West Melbourne
- State
- Florida
- ZIP Code
- 32904-8601
- Phone
- (321) 725-8778
Authorized Official
- Name
- RHONDA SIMPSON
- Title
- PATIENT SEVICES
- Phone
- (321) 725-8778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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