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John J Bomalaski MD PA

John J Bomalaski MD PA is a healthcare organization registered as Gynecologic Oncology Physician in Melbourne, FL, holding Type 2 (organization) NPI 1174596167 since 2006. The authorized official on file is John Bomalaski, Owner.

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NPI 1174596167
Entity type Organization (Type 2)
Legal business name John J Bomalaski MD PA
Practice address 7000 SPYGLASS CT, SUITE 300, Melbourne, FL, 32940
Phone 3217520944
Fax 3217520756
Enumeration date 2006-02-09
Last updated in NPPES 2020-08-22

Authorized official

Name John Bomalaski
Title Owner
Phone 3214344656

Taxonomy & classification

Taxonomy code Specialty Primary License State
207VX0201X Gynecologic Oncology Physician Primary
Copy-ready billing details
Provider: John J Bomalaski MD PA
NPI: 1174596167
Taxonomy: 207VX0201X (Gynecologic Oncology Physician)
Address: 7000 SPYGLASS CT, SUITE 300, Melbourne, FL, 32940

Providers at this address

NPI Name Type Specialty Location
1548246606 Allison Raco Individual Medical Physician Assistant Viera, FL
1659347037 Viera Diagnostic Center LLC Organization Clinic/Center Viera, FL
1679549059 Jeffrey Araj Individual Diagnostic Radiology Physician Viera, FL
1215002092 Doreen Palmer-Perez Individual Physical Therapy Assistant Melbourne, FL
1235325804 Sealym Neurology & Epilepsy, Pllc Organization Neurology Physician Melbourne, FL
1316228141 Delorenzi Orthopaedic Center PA Organization Orthopaedic Surgery Physician Viera, FL
1194125880 Rosanne Bessenaire Individual Physical Therapist Viera, FL
1285034868 Marcia Jeddrie Individual Occupational Therapist Viera, FL

Verify this record

Cross-check NPI 1174596167 against the authoritative CMS record: view John J Bomalaski MD PA on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is John J Bomalaski MD PA located?
The practice location on file with NPPES is in Melbourne, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.