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Organization
BREVARD HEALTH ALLIANCE INC
Active
Organization
BREVARD HEALTH ALLIANCE INC
Active
Other names
Family Promise Firehouse Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CRAIG (DIRECTOR OF BILLING)
(321) 241-6834
Entity
Organization
Contact information
Practice address
114 1ST ST OFC 137, COCOA, FL 32922-7767
(321) 241-6800
(321) 241-6890
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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