Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clow Integrated Medical Center PA

Organization Nurse Practitioner · NPI 1134961287

Clow Integrated Medical Center PA is a Nurse Practitioner in West Melbourne, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

145 Palm Bay Rd NE Ste 121
West Melbourne, FL 32904-8601
Phone: (321) 725-8778
Fax: (321) 984-5299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1134961287
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpace Coast Corporate Health Service P A
Authorized official Rhonda Simpson — Patient Sevices · (321) 725-8778
Other names Cimc; Cimc
NPI enumeratedJune 10, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateAugust 20, 2024
Mailing address145 Palm Bay Rd Ne Ste 120, West Melbourne, FL 32904-8601

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