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Brevard Health Alliance
Federally Qualified Health Center (FQHC) in Titusville, Florida
NPI 1336444637

Brevard Health Alliance is a Federally Qualified Health Center (FQHC) based in Titusville, FL and is specialized in Federally Qualified Health Center (FQHC). Brevard Health Alliance practices in Titusville, FL. The NPI Number for Brevard Health Alliance is 1336444637 and holds a License No. (Florida).

The current practice location address for Brevard Health Alliance is 500 N Washington Ave, Titusville, FL and can be reached out via phone at 321-264-5496 and via fax at 321-268-3357.

Location: 500 N Washington Ave, Titusville, FL, 32796-2759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336444637
Provider Name
Brevard Health Alliance
Credential
Provider Entity Type
Organization
Address
500 N Washington Ave, Titusville, FL, 32796-2759
Phone Number
321-264-5496
Fax Number
321-268-3357
Provider Enumeration Date
01/18/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6886931-13 05 FL
institution
Provider Business Practice Location Address Details
Address
500 N Washington Ave
City
Titusville
State
Florida
Zip
32796-2759
Phone Number
321-264-5496
Fax Number
321-268-3357
person
Provider Business Mailing Address Details
Address
500 N Washington Ave
City
Titusville
State
Florida
Zip
32796-2759
Phone Number
321-264-5496
Fax Number
321-268-3357
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
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
261QF0400X
License No.
()
Definition
Definition to come...
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