institution
The Brevard Health Alliance Inc
Federally Qualified Health Center (FQHC) in Cocoa, Florida
NPI 1104121300

The Brevard Health Alliance Inc is a Federally Qualified Health Center (FQHC) based in Cocoa, FL and is specialized in Federally Qualified Health Center (FQHC). The Brevard Health Alliance Inc practices in Cocoa, FL. The NPI Number for The Brevard Health Alliance Inc is 1104121300 and holds a License No. (Florida).

The current practice location address for The Brevard Health Alliance Inc is 705 Blake Ave, Cocoa, FL and can be reached out via phone at 321-633-6391 and via fax at 321-633-6441.

Location: 705 Blake Ave, Cocoa, FL, 32922-7100
institution
Provider Profile Details
NPI Number
1104121300
Provider Name
The Brevard Health Alliance Inc
Credential
Provider Entity Type
Organization
Address
705 Blake Ave, Cocoa, FL, 32922-7100
Phone Number
321-633-6391
Fax Number
321-633-6441
Provider Enumeration Date
01/19/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6886931-11 05 FL
institution
Provider Business Practice Location Address Details
Address
705 Blake Ave
City
State
Zip
32922-7100
Phone Number
321-633-6391
Fax Number
321-633-6441
person
Provider Business Mailing Address Details
Address
705 Blake Ave
City
State
Zip
32922-7100
Phone Number
321-633-6391
Fax Number
321-633-6441
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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