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Organization
BREVARD WELLNESS CENTER LLC
Active
Organization
BREVARD WELLNESS CENTER LLC
Active
Other names
Space Coast Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER BICKFORD OMD, LAC (PRESIDENT)
(321) 610-8935
Entity
Organization
Contact information
Practice address
466 N HARBOR CITY BLVD, MELBOURNE, FL 32935-6858
(321) 610-8935
Mailing address
436 BAHIA CT NW, PALM BAY, FL 32907-8700
(321) 610-8935
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP855
FL
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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