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

Naomi Plack

Individual provider Anesthesiologist Assistant · NPI 1891517322

Naomi Plack is an Anesthesiology Assistant in Melbourne, Florida. Qualified in 2024, 2 years ago. Practices with Brevard Physician Associates PLLC, a 219-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

2627 W Eau Gallie Blvd Ste 101
Melbourne, FL 32935-8303
Phone: (321) 837-3820
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1891517322
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedOctober 28, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 27, 2024
Mailing addressN1637 Highway 67, Neosho, WI 53059-9645

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Brevard Physician Associates Pllc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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