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Organization
COASTAL HEALTH SYSTEMS OF BREVARD, INC.
Active
Organization
COASTAL HEALTH SYSTEMS OF BREVARD, INC.
Active
Other names
Coastal Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA BROOKE TAYLOR (CEO)
(321) 633-7050
Entity
Organization
Contact information
Practice address
486 GUS HIPP BLVD, ROCKLEDGE, FL 32955-4800
(321) 633-7050
(321) 632-3005
Mailing address
486 GUS HIPP BLVD, ROCKLEDGE, FL 32955-4800
(321) 633-7050
(321) 632-3005
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
002591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086957100
—
FL
01
—
A0608
AMBULANCE
FL
Enumeration date
02/16/2006
Last updated
12/30/2024
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