Healthcare Provider Details

I. General information

NPI: 1891469904
Provider Name (Legal Business Name): HEART RHYTHM CONSULTANTS OF MELBOURNE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 12/20/2021
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W EAU GALLIE BLVD STE 102
MELBOURNE FL
32935-4149
US

IV. Provider business mailing address

1071 S PATRICK DR UNIT 372003
SATELLITE BEACH FL
32937-7001
US

V. Phone/Fax

Practice location:
  • Phone: 321-720-2860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: AUDRIUS BREDIKIS
Title or Position: PRESIDENT
Credential: MD
Phone: 321-720-2860