MEDICARE: PREFIX SUFFIX LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	253Z00000X	In Home Supportive Care Agency
3	310400000X	Assisted Living Facility
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1053033134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFIX SUFFIX LLC

Provider Business Mailing Address
First Line	:	2419 S. BABCOCK ST
Second Line	:	UNIT A
City	:	MELBOURNE
State	:	FL
Zip	:	32901
Country	:	US
Telephone Number	:	254-702-5426
Fax Number	:

Provider Business Practice Location Address
First Line	:	2419 S. BABCOCK ST
Second Line	:	UNIT A
City	:	MELBOURNE
State	:	FL
Zip	:	32901-3290
Country	:	US
Telephone Number	:	254-702-5426
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. SHAMIKA A HAMILTON
Credential	:
Telephone Number	:	254-702-5426

Provider Enumeration Date	:	09/14/2022
Last Update Date	:	09/14/2022

Similar Medicare Providers

1194425991 — ALLISON BALDOMERO
Practice Location Address:

1535 W NASA BLVD , UNIT C-1
MELBOURNE, FL
32901-3290

Practice Phone: 321-235-6199
Practice Fax:

1225689557 — LAKIA SHANNON KING
Practice Location Address:

635 SHORTHILLS LANE , UNIT103
MELBOURNE, FL
32905-3290

Practice Phone: 860-573-5303
Practice Fax:

1316881733 — EMILY KELLY MD PLLC
Practice Location Address:

805 E FEE AVE
MELBOURNE, FL
32901-4612

Practice Phone: 585-313-3444
Practice Fax:

1902749641 — CRESCENT WOUND CARE INC
Practice Location Address:

765 W NASA BLVD
MELBOURNE, FL
32901-1815

Practice Phone: 321-733-5725
Practice Fax: 321-733-5799

1174467278 — AMERICA'S MDE
Practice Location Address:

1344 S APOLLO BLVD STE 406
MELBOURNE, FL
32901-3185

Practice Phone: 321-727-2990
Practice Fax: 321-724-0455

1447812888 — ALLIES IN WELLNESS, LLC
Practice Location Address:

1825 RIVERVIEW DR
MELBOURNE, FL
32901-4711

Practice Phone: 321-258-9537
Practice Fax:

Directions to “PREFIX SUFFIX LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.