# FAMILY MEDICAL CARE OF BREVARD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brevard medical group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578508966
- **Authorized official:** DR. ROBERT H PAXSON M.D. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (321) 453-3638

## Contact information

- **Practice address:** 258 FORTENBERRY RD, MERRITT ISLAND, FL 32952-3619
- **Practice address phone:** (321) 453-3638
- **Practice address fax:** (321) 452-1185
- **Mailing address:** 258 FORTENBERRY RD, MERRITT ISLAND, FL 32952-3619
- **Mailing address phone:** (321) 453-3638
- **Mailing address fax:** (321) 452-1185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 09/11/2025