Healthcare Provider Details

I. General information

NPI: 1598366999
Provider Name (Legal Business Name): HEALTH FIRST MEDICAL GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2020
Last Update Date: 11/03/2020
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E HIBISCUS BLVD
MELBOURNE FL
32901-3156
US

IV. Provider business mailing address

3300 S FISKE BLVD
ROCKLEDGE FL
32955-4306
US

V. Phone/Fax

Practice location:
  • Phone: 321-361-5550
  • Fax:
Mailing address:
  • Phone: 321-434-5112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: LORA MORSE
Title or Position: VP PROFESSIONAL FEE REVENUE CYCLES
Credential:
Phone: 321-434-6116