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Organization
INTERNAL MEDICINE OF BREVARD, PLLC
Active
Organization
INTERNAL MEDICINE OF BREVARD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN NOLAN SWEENEY JR. D.O. (OWNER/MANAGING AGENT)
(321) 631-0392
Entity
Organization
Contact information
Practice address
1978 ROCKLEDGE BLVD, STE 108, ROCKLEDGE, FL 32955-3722
(321) 631-0392
(321) 631-5787
Mailing address
1978 ROCKLEDGE BLVD, STE 108, ROCKLEDGE, FL 32955-3722
(321) 631-0392
(321) 631-5787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS6941
FL
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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