MEDICARE: MERRITT-TITUS PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME0044271	FL

General Provider Information

NPI Number	:	1619927464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERRITT-TITUS PA

Provider Business Mailing Address
First Line	:	1855 KNOX MCRAE DR
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32780-5492
Country	:	US
Telephone Number	:	321-269-2028
Fax Number	:	321-267-8814

Provider Business Practice Location Address
First Line	:	1855 KNOX MCRAE DR
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32780-5492
Country	:	US
Telephone Number	:	321-269-2028
Fax Number	:	321-267-8814

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. ANTHONY KINSELLA
Credential	:	M.D.
Telephone Number	:	321-269-2028

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	04/30/2008

Similar Medicare Providers

1659238699 — KATHLEEN DEANN SPRINGER
Practice Location Address:

1855 KNOX MCRAE DR
TITUSVILLE, FL
32780-5492

Practice Phone: 321-269-2028
Practice Fax:

1801855424 — FAYE ELLEN O'ROURKE APRN
Practice Location Address:

1855 KNOX MCRAE DR STE F
TITUSVILLE, FL
32780-5492

Practice Phone: 321-269-2028
Practice Fax: 321-264-0730

1851405732 — GREGORY LEE GULLIKSON DMD
Practice Location Address:

1853 KNOX MCRAE DR
TITUSVILLE, FL
32780-5492

Practice Phone: 321-267-2934
Practice Fax: 321-267-3698

1003982851 — DR. WARREN S. SCHMITT O.D.
Practice Location Address:

1851 KNOX MCRAE DR
TITUSVILLE, FL
32780-5492

Practice Phone: 321-268-2266
Practice Fax: 321-385-3926

1194869339 — MR. STEVEN I MAZLIN
Practice Location Address:

1851 KNOX MCRAE DR
TITUSVILLE, FL
32780-5492

Practice Phone: 321-269-3056
Practice Fax:

1982736120 — MRS. SUSAN THURSTON PA
Practice Location Address:

1855 KNOX MCRAE DR
TITUSVILLE, FL
32780-5492

Practice Phone: 321-269-2028
Practice Fax: 321-264-0730

Directions to “MERRITT-TITUS PA ” 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.