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Brevard Health Alliance
Federally Qualified Health Center (FQHC) in Cocoa, Florida
NPI 1952451239

Brevard Health Alliance is a Federally Qualified Health Center (FQHC) based in Cocoa, FL and is specialized in Federally Qualified Health Center (FQHC). Brevard Health Alliance practices in Cocoa, FL. The NPI Number for Brevard Health Alliance is 1952451239 and holds a License No. (Florida).

The current practice location address for Brevard Health Alliance is 15 Rosa L Jones Blvd, Cocoa, FL and can be reached out via phone at 321-639-5177.

Location: 15 Rosa L Jones Blvd, Cocoa, FL, 32922-7899
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952451239
Provider Name
Brevard Health Alliance
Credential
Provider Entity Type
Organization
Address
15 Rosa L Jones Blvd, Cocoa, FL, 32922-7899
Phone Number
321-639-5177
Fax Number
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6886931-09 05 FL
institution
Provider Business Practice Location Address Details
Address
15 Rosa L Jones Blvd
City
Cocoa
State
Florida
Zip
32922-7899
Phone Number
321-639-5177
Fax Number
person
Provider Business Mailing Address Details
Address
15 Rosa L Jones Blvd
City
Cocoa
State
Florida
Zip
32922-7899
Phone Number
321-639-5177
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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