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NPI 1558347609ActiveOrganization· Exclusive Provider Organization· Melbourne, FL

Exclusive Provider Organization in Melbourne, Florida, registered in NPPES in December 2005. The authorized official on file is Carrie Lynn Roselip-Thomas, M.S., President.

Overview

NPI1558347609
StatusActive
Entity typeOrganization
NPI issuedDec 21, 2005
Last updated in NPPESJun 13, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Exclusive Provider Organization Primary302F00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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