NORTH BREVARD MEDICAL SUPPORT INC NPI 1609834886

NPI Information

NPI: 1609834886
Provider Name: NORTH BREVARD MEDICAL SUPPORT, INC

Doing Business As: PARRISH MEDICAL GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
250 HARRISON ST
TITUSVILLE, FL
ZIP 32780
Phone: (321) 268-6868
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NORTH BREVARD MEDICAL SUPPORT, INC is a multi-specialty clinic center in Titusville, FL. NORTH BREVARD MEDICAL SUPPORT, INC NPI is 1609834886. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Parrish Medical Group.

The provider's business location address is:

250 HARRISON ST
TITUSVILLE, FL
ZIP 32780
Phone: (321) 268-6868
Fax: (321) 267-2713

The provider's authorized official is Christopher Mcalpine .
The authorized official title is Sr Vp-administration and has the following contact phone number (321) 268-6111.

The CLIA number assigned to this NPI record is 10D2164158 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 6/14/2022.

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
1	163WW0000X	Registered Nurse	Wound Care			No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	265539000	MEDICAID	FLORIDA
2	265539009	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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