Healthcare Provider Details

I. General information

NPI: 1699612499
Provider Name (Legal Business Name): SUNTREE HYPERBARIC CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6525 3RD ST STE 106
ROCKLEDGE FL
32955-5751
US

IV. Provider business mailing address

6619 N WICKHAM RD
MELBOURNE FL
32940-2006
US

V. Phone/Fax

Practice location:
  • Phone: 321-259-9500
  • Fax:
Mailing address:
  • Phone: 321-259-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABE HARDOON
Title or Position: OWNER
Credential: MD
Phone: 321-259-9500