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CANCER CARE CENTERS OF BREVARD INC NPI 1023681343


NPI Information

NPI: 1023681343
Provider Name: CANCER CARE CENTERS OF BREVARD INC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

CLIA Number: 10D1100942

Address:
240 N WICKHAM RD STE 101
MELBOURNE, FL
ZIP 32935
Phone: (321) 752-4811
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CANCER CARE CENTERS OF BREVARD INC is a radiation oncology radiology in Melbourne, FL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. CANCER CARE CENTERS OF BREVARD INC NPI is 1023681343. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

240 N WICKHAM RD STE 101
MELBOURNE, FL
ZIP 32935-663
Phone: (321) 752-4811
Fax: (321) 752-4822

The provider's authorized official is Gail Knight Erentreich .
The authorized official title is DIRECTOR OF CLINICAL OPERATIONSClinical Operations and has the following contact phone number (321) 636-2111.

The CLIA number assigned to this NPI record is 10D1100942 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/23/2021 and was last updated on 7/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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