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

Halcian L Graham, PAC

Individual provider Physician Assistant · NPI 1962578153

Halcian L Graham, PAC is a Physician Assistant in Melbourne, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2080 W Eau Gallie Blvd Ste A
Melbourne, FL 32935-3185
Phone: (321) 254-6218
Fax: (321) 254-6230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9103552 (FL)

Record details

NPI number1962578153
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorYes
NPI enumeratedNovember 28, 2006
Last updated in NPPESFebruary 15, 2012
Mailing addressPo Box 361907, Melbourne, FL 32936-1907

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