OrganizationActive
Medi Melbourne LLC
NPI 1700256450 · General Practice Physician · Melbourne, FL
Provider details
- NPI number
- 1700256450
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Willett, Managing Member(813) 245-5305
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7630 N Wickham Rd
Suite 104
Melbourne, FL 32940-8257
Phone: (321) 610-7982
Approximate (ZIP-level) locationGet directions
Mailing address
412 E Madison St
Tampa, FL 33602-4601
Registry dates
- Enumerated
- 2015-10-06
- Last updated
- 2016-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.