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FLORIDA HEALTH CARE OF BREVARD NPI 1598323461


NPI Information

NPI: 1598323461
Provider Name: FLORIDA HEALTH CARE OF BREVARD
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2180749

Address:
1840 ELDRON BLVD SE STE 2
PALM BAY, FL
ZIP 32909
Phone: (561) 523-3973
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FLORIDA HEALTH CARE OF BREVARD is a primary care clinic center in Palm Bay, FL. FLORIDA HEALTH CARE OF BREVARD NPI is 1598323461. The provider is registered as an organization entity type.

The provider's business location address is:

1840 ELDRON BLVD SE STE 2
PALM BAY, FL
ZIP 32909-871
Phone: (561) 523-3973

The provider's authorized official is Carlos Lopez .
The authorized official title is Owner and has the following contact phone number (722) 226-6859.

The CLIA number assigned to this NPI record is 10D2180749 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2019 and was last updated on 3/5/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QP2300XClinic/CenterPrimary CareYes

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: 4/28/2024

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.