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Brevard Health Alliance
General Practice Physician in Melbourne, Florida
NPI 1558088070

Brevard Health Alliance is a General Practice Physician based in Melbourne, FL. Brevard Health Alliance practices in Melbourne, FL. The NPI Number for Brevard Health Alliance is 1558088070 and holds a License No. (Florida).

The current practice location address for Brevard Health Alliance is 2550 Grant St Ste 137, Melbourne, FL and can be reached out via phone at 321-334-6940 and via fax at 321-334-6912.

Location: 2550 Grant St Ste 137, Melbourne, FL, 32902-1137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558088070
Provider Name
Brevard Health Alliance
Credential
Provider Entity Type
Organization
Address
2550 Grant St Ste 137, Melbourne, FL, 32902-1137
Phone Number
321-334-6940
Fax Number
321-334-6912
Provider Enumeration Date
10/25/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
688693129 05 FL
institution
Provider Business Practice Location Address Details
Address
2550 Grant St Ste 137
City
Melbourne
State
Florida
Zip
32901-6006
Phone Number
321-334-6940
Fax Number
321-334-6912
person
Provider Business Mailing Address Details
Address
2550 Grant St Ste 137
City
Melbourne
State
Florida
Zip
32901-6006
Phone Number
321-334-6940
Fax Number
321-334-6912
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
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Definition
Definition to come...
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