# NORTH BREVARD MEDICAL SUPPORT, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parrish Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609834886
- **Authorized official:** MR. CHRISTOPHER MCALPINE (SR VP-ADMINISTRATION)
- **Authorized official phone:** (321) 268-6111

## Contact information

- **Practice address:** 250 HARRISON ST, TITUSVILLE, FL 32780
- **Practice address phone:** (321) 268-6868
- **Practice address fax:** (321) 267-2713
- **Mailing address:** 805 CENTURY MEDICAL DR STE C, TITUSVILLE, FL 32796-2100
- **Mailing address phone:** (321) 268-6263
- **Mailing address fax:** (321) 268-6273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 06/14/2022