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NPI Code Detail

MEDICARE: FLORIDA HEALTH CARE OF BREVARD

MEDICARE: FLORIDA HEALTH CARE OF BREVARD
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
1261QM1300XMulti-Specialty Clinic/Center
2261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1598323461
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA HEALTH CARE OF BREVARD
Provider Business Mailing Address
First Line : 1840 ELDRON BLVD SE STE 2
Second Line :
City : PALM BAY
State : FL
Zip : 32909-6871
Country : US
Telephone Number : 772-226-6859
Fax Number :
Provider Business Practice Location Address
First Line : 1840 ELDRON BLVD SE STE 2
Second Line :
City : PALM BAY
State : FL
Zip : 32909-6871
Country : US
Telephone Number : 561-523-3973
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CARLOS LOPEZ
Credential :
Telephone Number : 722-226-6859
Provider Enumeration Date : 06/04/2019
Last Update Date : 03/05/2024

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Directions to “FLORIDA HEALTH CARE OF BREVARD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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