ROBERT C UDELL DO LLC
NPI 1386688257
Internal Medicine in Cocoa Beach, FL

NPI Status: Active since June 15, 2006

Contact Information

1980 N ATLANTIC AVE
SUITE 1010
COCOA BEACH, FL
ZIP 32931
Phone: (321) 868-0360
Fax: (321) 799-4968

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  • Organization
  • Internal Medicine
  • CLIA Number: 10D2153011
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-20-2026

About ROBERT C UDELL DO LLC

This page provides the complete NPI Profile along with additional information for Robert C Udell Do Llc, an internist established in Cocoa Beach, Florida operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1386688257 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X with license number OS7144 (FL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sandi Laroche (Mso Credentialing Coordinator)

NPI
1386688257
Provider Name
ROBERT C UDELL DO LLC
Entity Type
Organization
Location Address
1980 N ATLANTIC AVE SUITE 1010 COCOA BEACH, FL 32931
Location Phone
(321) 868-0360
Location Fax
(321) 799-4968
Mailing Address
150 N SYKES CREEK PKWY # 300 MERRITT ISLAND, FL 32953
Mailing Phone
(321) 449-4168
Mailing Fax
(321) 799-4968
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2006
Last Update Date
08-28-2009
Code Navigator

An internist like Robert C Udell Do Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS7144
License State
FL
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SANDI LAROCHE

Authorized Official Title
MSO CREDENTIALING COORDINATOR
Authorized Official Phone
(321) 449-4168

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F46064MEDICARE UPIN (02)FL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2153011
Facility Type
Physician Office
Certificate Effective Date
August 21, 2024
Certificate Expiration Date
August 20, 2026
Laboratory Director
ROBERT E. CLAYTON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Robert C Udell Do Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for ROBERT C UDELL DO LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386688257
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2316612816210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 1 + 2 + 8 + 1 + 6 + 2 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1386688257 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467459883 ELLIOT HAROLD KORNBERG M.D.
Individual
Surgery1980 N ATLANTIC AVE SUITE 416
COCOA BEACH, FL 32931
(321) 783-7079
1821076464DR. JOSEPH C SUTLY
Individual
Urology1980 N ATLANTIC AVE SUITE 421
COCOA BEACH, FL 32931
(321) 783-0130
1538273032DR. JAVIER SIMONS DDS
Individual
Dentist (Endodontics)1980 N ATLANTIC AVE 905
COCOA BEACH, FL 32931
(321) 784-2236
1295849719DR. RAMON E HERNANDEZ DMD
Individual
Dentist (Endodontics)1980 N ATLANTIC AVE 905
COCOA BEACH, FL 32931
(321) 784-2236
1598879033DR. DARLENE R HACHMEISTER DMD
Individual
Dentist (Endodontics)1980 N ATLANTIC AVE 905
COCOA BEACH, FL 32931
(321) 784-2236
1346350352MRS. KRISTIN WIDICK SMALLWOOD M.D.
Individual
Dermatology1980 N ATLANTIC AVE SUITE 722
COCOA BEACH, FL 32931
(321) 784-8811
1770632267DR. DONALD A, STEWART PSY.D.
Individual
Psychologist (Clinical)1980 N ATLANTIC AVE SUITE 501
COCOA BEACH, FL 32931
(321) 784-1888
1316147606SURGICAL SPECIALISTS OF CENTRAL BREVARD PA
Organization
Surgery1980 N ATLANTIC AVE SUITE 602
COCOA BEACH, FL 32931
(321) 783-8400
1558529842MIHAI S RADU M D P A
Organization
Clinic/Center (Primary Care)1980 N ATLANTIC AVE STE 718
COCOA BEACH, FL 32931
(321) 783-6115
1316100548RICHARD F. LAMACCHIA, PHD, PA
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1980 N ATLANTIC AVE SUITE 515
COCOA BEACH, FL 32931
(321) 266-9895
1932491461MRS. MISTY FAITH MAROT M.A., B.C.B.A.
Individual
Behavior Analyst1980 N ATLANTIC AVE SUITE 416
COCOA BEACH, FL 32931
(321) 613-3823
1952375560 ROBERT C UDELL D.O.
Individual
Internal Medicine1980 N ATLANTIC AVE SUITE 1010
COCOA BEACH, FL 32931
(321) 868-0902
1962759035JOSEPH B. GLASNER, M.D., P.A.
Organization
Family Medicine1980 N ATLANTIC AVE SUITE 627
COCOA BEACH, FL 32931
(321) 783-0840
1376592527MRS. DEBORAH L SHANNON
Individual
Social Worker (Clinical)1980 N ATLANTIC AVE SUITE 515
COCOA BEACH, FL 32931
(321) 501-2328
1154794071KELLI M. CORDIS, LCSW
Organization
Community/Behavioral Health1980 N ATLANTIC AVE SUITE 616
COCOA BEACH, FL 32931
(773) 350-7602
1639179427DR. MICHAEL J MCLAUGHLIN MD
Individual
Surgery1980 N ATLANTIC AVE SUITE 602
COCOA BEACH, FL 32931
(321) 783-8400
1306957378ATLANTIC DERMATOLOGY LLC
Organization
Dermatology1980 N ATLANTIC AVE SUITE 722
COCOA BEACH, FL 32931
(321) 784-8811
1306896949DR. SUSAN NOREEN FROST PSY.D.
Individual
Psychologist (Clinical)1980 N ATLANTIC AVE SUITE 515
COCOA BEACH, FL 32931
(321) 961-2833
1528157336 JOSEPH B GLASNER M.D.
Individual
Family Medicine1980 N ATLANTIC AVE SUITE 627
COCOA BEACH, FL 32931
(321) 783-0840
1376727537MRS. AZILDE E. SANCHEZ PHD., LPC
Individual
Psychologist1980 N ATLANTIC AVE
COCOA BEACH, FL 32931
(973) 862-9262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386688257, enumerated in the NPI registry as an "organization" on June 15, 2006

The provider is located at 1980 N Atlantic Ave Suite 1010 Cocoa Beach, Fl 32931 and the phone number is (321) 868-0360

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D2153011 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on June 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.