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NPI Code Detail

MEDICARE: BREVARD HEALTH ALLIANCE, INC.

MEDICARE: BREVARD HEALTH ALLIANCE, INC.
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1508735150
Entity Type Code : Organization
Provider Name (Legal Business Name) : BREVARD HEALTH ALLIANCE, INC.
Provider Business Mailing Address
First Line : PO BOX 1137
Second Line :
City : MELBOURNE
State : FL
Zip : 32902-1137
Country : US
Telephone Number : 321-952-9696
Fax Number : 321-952-7937
Provider Business Practice Location Address
First Line : 17 SILVER PALM AVE
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-3123
Country : US
Telephone Number : 321-241-6800
Fax Number : 321-241-6890
Authorized Official
Title or Position : DIRECTOR OF BILLING
Name : ANGELA CRAIG
Credential :
Telephone Number : 321-241-6834
Provider Enumeration Date : 11/03/2025
Last Update Date : 01/21/2026

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Directions to “BREVARD HEALTH ALLIANCE, INC. ” Practice Location

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