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

Individual provider Physician Assistant · NPI 1104074152

Mr. Laudelmar Fabricio Vina, PA is a Physician Assistant in Melbourne, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1600 Sarno Rd Ste 15
Melbourne, FL 32935-4938
Phone: (800) 348-4565
Fax: (888) 468-6511
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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 PA 9104706 (FL)

Record details

NPI number1104074152
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 3, 2008
Last updated in NPPESSeptember 19, 2016

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