Florida Institute of Technology
NPI 1336881572ActiveOrganization· Family Medicine, Sports Medicine· Melbourne, FL
Family Medicine, Sports Medicine in Melbourne, Florida, registered in NPPES in April 2022. The authorized official on file is Mouzon Bass, Administrator/Agent.
Overview
| NPI | 1336881572 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 8, 2022 |
| Last updated in NPPES | Apr 8, 2022 |
| Certified by provider | Apr 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine, Sports Medicine providers in Melbourne
- 1194728832
- 1700414067
- 1952978678
- 1114241213
- 1487861076
- 1891345542