BREVARD WOUND CARE CENTER LLC NPI 1154910271

NPI Information

  • NPI: 1154910271
  • Provider Name: BREVARD WOUND CARE CENTER, LLC
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Organization
  • Address: 445 PINEDA CT
    MELBOURNE, FL
    ZIP 32940
  • Phone: (321) 254-1611

Map and Directions

Get Directions

NPI Details

BREVARD WOUND CARE CENTER, LLC is an infectious disease internal medicine in Melbourne, FL. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. BREVARD WOUND CARE CENTER, LLC NPI is 1154910271. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

445 PINEDA CT
MELBOURNE, FL
ZIP 32940-555
Phone: (321) 254-1611
Fax: (321) 254-3166

The provider's authorized official is Miguel Mateos-mora .
The authorized official title is Owner/operator and has the following contact phone number (321) 254-1611.

The enumeration date for this NPI number is 1/13/2021 and was last updated on 1/13/2021.

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
1207RI0200XInternal MedicineInfectious DiseaseYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI