Provider Demographics
NPI:1265671333
Name:HEALTH FIRST PHYSICIAN SPECIALTIES INC
Entity Type:Organization
Organization Name:HEALTH FIRST PHYSICIAN SPECIALTIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:ESROCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-434-5687
Mailing Address - Street 1:PO BOX 561530
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32956-1530
Mailing Address - Country:US
Mailing Address - Phone:321-434-4674
Mailing Address - Fax:321-434-4642
Practice Address - Street 1:1350 S HICKORY ST
Practice Address - Street 2:SUITE PSO
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3224
Practice Address - Country:US
Practice Address - Phone:321-434-1401
Practice Address - Fax:321-434-1667
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH FIRST PHYSICIANS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-13
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000490600Medicaid
FLAV714Medicare PIN