# BREVARD PHYSICAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carnol Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548680531
- **Authorized official:** JOHN CHARLES MADLENER M.D (MEDICAL DOCTOR)
- **Authorized official phone:** (321) 751-5351

## Contact information

- **Practice address:** 6420 3RD STREET, SUITE 103, ROCKLEDGE, FL 32955
- **Practice address phone:** (321) 751-5351
- **Practice address fax:** (321) 751-5370
- **Mailing address:** 6420 3RD STREET, SUITE 103, ROCKLEDGE, FL 32955
- **Mailing address phone:** (321) 751-5351
- **Mailing address fax:** (321) 751-5370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME86688 | FL | Yes |
| 225100000X | Physical Therapist | — | FL | — |
| 363A00000X | Physician Assistant | — | FL | — |

## Other

- **Enumeration date:** 04/17/2014
- **Last updated:** 04/29/2015