Organization · NPI-2

Atlantic Cardiolink

Clinic/Center · Melbourne, FL

NPI number1164525481
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1164525481
Entity type
Organization (NPI-2)
Legal business name
Atlantic Cardiolink
Organization subpart
No
Enumeration date
Sep 6, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1305 Hickory St
Melbourne, FL 32901-3223

Phone 321-952-9009 · Fax 321-952-9005

Mailing address

1305 Hickory St
Melbourne, FL 32901-3223

Phone 321-952-9009 · Fax 321-952-9005

Authorized official

Gopal Gadodia
President
3219529009

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Melbourne, FL