# COASTAL HEALTH SYSTEMS OF BREVARD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235103029
- **Authorized official:** MS. ANDREA BROOKE TAYLOR (CEO)
- **Authorized official phone:** (321) 633-7050

## Contact information

- **Practice address:** 486 GUS HIPP BLVD, ROCKLEDGE, FL 32955-4800
- **Practice address phone:** (321) 633-7050
- **Practice address fax:** (321) 632-3005
- **Mailing address:** 486 GUS HIPP BLVD, ROCKLEDGE, FL 32955-4800
- **Mailing address phone:** (321) 633-7050
- **Mailing address fax:** (321) 632-3005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |
| 3416L0300X | Land Ambulance | 002591 | FL | — |

## Other

- **Enumeration date:** 02/16/2006
- **Last updated:** 12/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 086957100 | — | FL |
| 01 | — | A0608 | AMBULANCE | FL |