The Place At Merritt Island

Specialty details in registry · Merritt Island, FL

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At a glance

535 Crockett Blvd, Merritt Island, FL 32953-5018

NPPES record updated Dec 6, 2010. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

535 Crockett Blvd
Merritt Island, FL 32953-5018
Professional details: NPI, taxonomy & registry record
NPI1154624682
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
310400000X
Enumeration date
Dec 6, 2010
Record updated
Dec 6, 2010
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

310400000X · Primary

License reported: AL8975 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

535 Crockett Blvd
Merritt Island, FL 32953-5018
Phone
(321) 454-2363
Fax
(321) 454-3030
Mailing address
535 CROCKETT BLVD

MERRITT ISLAND, FL 329535018
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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