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Organization
BREVARD PHYSICAL MEDICINE
Active
Organization
BREVARD PHYSICAL MEDICINE
Active
Other names
Carnol Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHARLES MADLENER M.D (MEDICAL DOCTOR)
(321) 751-5351
Entity
Organization
Contact information
Practice address
6420 3RD STREET, SUITE 103, ROCKLEDGE, FL 32955
(321) 751-5351
(321) 751-5370
Mailing address
6420 3RD STREET, SUITE 103, ROCKLEDGE, FL 32955
(321) 751-5351
(321) 751-5370
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME86688
FL
225100000X
Physical Therapist
—
FL
363A00000X
Physician Assistant
—
FL
Other
Enumeration date
04/17/2014
Last updated
04/29/2015
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