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NPI Code Detail

MEDICARE: PEDIATRICS IN BREVARD, P.A.

MEDICARE: PEDIATRICS IN BREVARD, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1154303790
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRICS IN BREVARD, P.A.
Provider Business Mailing Address
First Line : 134 S WOODS DR
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3262
Country : US
Telephone Number : 321-636-3066
Fax Number : 321-636-2545
Provider Business Practice Location Address
First Line : 134 S WOODS DR
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3262
Country : US
Telephone Number : 321-636-3066
Fax Number : 321-636-2545
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : MRS. KAREN ALLISON
Credential :
Telephone Number : 321-636-3066
Provider Enumeration Date : 11/18/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1992705586 — DR. TARA FORCIER M.D.
Practice Location Address:
134 S WOODS DR
ROCKLEDGE, FL
32955-3262
Practice Phone: 321-636-3066
Practice Fax: 321-636-2545
1871585398 — DR. WILLIAM L KNAPPENBERGER M.D.
Practice Location Address:
134 S WOODS DR
ROCKLEDGE, FL
32955-3262
Practice Phone: 321-636-3066
Practice Fax: 321-636-2545
1134111677 — DR. JOHN C KENNEDY M.D.
Practice Location Address:
134 S WOODS DR
ROCKLEDGE, FL
32955-3262
Practice Phone: 321-636-3066
Practice Fax: 321-636-2545
1053304055 — ERYN PRESTON ARNP
Practice Location Address:
134 S WOODS DR
ROCKLEDGE, FL
32955-3262
Practice Phone: 321-636-3066
Practice Fax: 321-636-2545
1356529572 — MEGAN ANNE ZABARONI
Practice Location Address:
134 S WOODS DR
ROCKLEDGE, FL
32955-3262
Practice Phone: 321-636-3066
Practice Fax: 321-636-2545
1538330618 — FIRST ULTRASOUND INC
Practice Location Address:
138 SOUTH WOODS DR , SUITE 101
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Practice Phone: 321-631-1636
Practice Fax: 321-631-1512

Directions to “PEDIATRICS IN BREVARD, P.A. ” Practice Location

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