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

Medi Melbourne LLC

Organization General Practice Physician · NPI 1629520606

Medi Melbourne LLC is a General Practice Physician in Melbourne, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7630 N Wickham Rd Ste 104
Melbourne, FL 32940-8257
Phone: (321) 610-7982
Fax: (321) 610-7984
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1629520606
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Willett — Owner · (321) 610-7982
NPI enumeratedOctober 26, 2016
Last updated in NPPESOctober 26, 2016
Mailing address7630 N Wickham Rd Ste 104, Melbourne, FL 32940-8257

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