MEDICARE: BREVARD PAIN CARE, PA

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
1	174400000X	Specialist	16940	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16940	OTHER	FL	STATE LICENSE

General Provider Information

NPI Number	:	1952760365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREVARD PAIN CARE, PA

Provider Business Mailing Address
First Line	:	190 S SYKES CREEK PKWY
Second Line	:	SUITE 1
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32952-3572
Country	:	US
Telephone Number	:	321-455-6353
Fax Number	:	321-455-6361

Provider Business Practice Location Address
First Line	:	190 S SYKES CREEK PKWY
Second Line	:	SUITE 1
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32952-3572
Country	:	US
Telephone Number	:	321-455-6353
Fax Number	:	321-455-6361

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MAHMOUD A EL-TOBGUI
Credential	:	M.D.
Telephone Number	:	321-455-6353

Provider Enumeration Date	:	02/12/2016
Last Update Date	:	02/12/2016

Similar Medicare Providers

1619972668 — DR. TIMOTHY MICHAEL WAHL D.M.D.
Practice Location Address:

190 S SYKES CREEK PKWY , STE 2
MERRITT ISLAND, FL
32952-3572

Practice Phone: 321-459-0154
Practice Fax: 321-459-0739

1255463709 — MAHMOUD A EL-TOBGUI M.D.
Practice Location Address:

190 S SYKES CREEK PKWY
MERRITT ISLAND, FL
32952-3572

Practice Phone: 321-455-6353
Practice Fax: 321-455-6361

1043342595 — BREVARD PAIN CARE PA
Practice Location Address:

190 S SYKES CREEK PKWY , SUITE 1
MERRITT ISLAND, FL
32952-3572

Practice Phone: 321-455-6353
Practice Fax: 321-455-6361

1982877221 — ASH DERMATOLOGY & SKIN CANCER CENTER, PA
Practice Location Address:

190 S SYKES CREEK PKWY , SUITE 3
MERRITT ISLAND, FL
32952-3572

Practice Phone: 321-986-9335
Practice Fax: 321-986-9337

1386975415 — RESTORATION MEDICINE LLC
Practice Location Address:

190 S SYKES CREEK PKWY , SUITE #3
MERRITT ISLAND, FL
32952-3572

Practice Phone: 321-305-6254
Practice Fax: 321-305-5972

1548733165 — DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA PA
Practice Location Address:

190 S SYKES CREEK PKWY STE 2
MERRITT ISLAND, FL
32952-3572

Practice Phone: 321-452-8334
Practice Fax: 321-452-8335

Directions to “BREVARD PAIN CARE, PA ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.