Provider Demographics
NPI:1104433267
Name:HEALTH FIRST MEDICAL GROUP LLC
Entity type:Organization
Organization Name:HEALTH FIRST MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP PROFESSIONAL FEE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:LORA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-434-6106
Mailing Address - Street 1:3300 S FISKE BLVD
Mailing Address - Street 2:MANAGED CARE
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955
Mailing Address - Country:US
Mailing Address - Phone:321-434-5112
Mailing Address - Fax:321-434-5485
Practice Address - Street 1:930 S HARBOR CITY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-1901
Practice Address - Country:US
Practice Address - Phone:321-345-7570
Practice Address - Fax:321-586-5408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty