BREVARD INTEGRATED HEALTH CENTER LLC NPI 1558852715

NPI Information

  • NPI: 1558852715
  • Provider Name: BREVARD INTEGRATED HEALTH CENTER LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2267717
  • Address: 1211 ADMIRALTY BLVD
    ROCKLEDGE, FL
    ZIP 32955
  • Phone: (321) 614-8430

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NPI Details

BREVARD INTEGRATED HEALTH CENTER LLC is a family medicine in Rockledge, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BREVARD INTEGRATED HEALTH CENTER LLC NPI is 1558852715. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1211 ADMIRALTY BLVD
ROCKLEDGE, FL
ZIP 32955-201
Phone: (321) 614-8430
Fax: (321) 735-0235

The provider's authorized official is David Heinish .
The authorized official title is Manager and has the following contact phone number (321) 614-8430.

The CLIA number assigned to this NPI record is 10D2267717 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2018 and was last updated on 5/23/2018.

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
1207Q00000XFamily MedicineME90864FLORIDAYes

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

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