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Buddha P.a
Primary Care Clinic/Center in Melbourne, Florida
NPI 1144842246

Buddha P.a is a Primary Care Clinic/Center based in Melbourne, FL and is specialized in Primary Care. Buddha P.a practices in Melbourne, FL. The NPI Number for Buddha P.a is 1144842246 and holds a License No. (Florida).

The current practice location address for Buddha P.a is 1731 Banaghen Dr, Melbourne, FL and can be reached out via phone at 614-404-0972.

Location: 1731 Banaghen Dr, Melbourne, FL, 32940-6012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144842246
Provider Name
Buddha P.a
Credential
Provider Entity Type
Organization
Address
1731 Banaghen Dr, Melbourne, FL, 32940-6012
Phone Number
614-404-0972
Fax Number
Provider Enumeration Date
05/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14Y3K 01 FL FLORIDA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1731 Banaghen Dr
City
Melbourne
State
Florida
Zip
32940-6012
Phone Number
614-404-0972
Fax Number
person
Provider Business Mailing Address Details
Address
1731 Banaghen Dr
City
Melbourne
State
Florida
Zip
32940-6012
Phone Number
614-404-0972
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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