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Organization
CANCER CARE CENTERS OF BREVARD INC
Active
Organization
CANCER CARE CENTERS OF BREVARD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL KNIGHT ERENTREICH (DIRECTOR OF CLINICAL OPERATIONS)
(321) 636-2111
Entity
Organization
Contact information
Practice address
1541 S WICKHAM RD, WEST MELBOURNE, FL 32904-3540
(321) 725-8300
(321) 725-1555
Mailing address
1048 HARVIN WAY, ROCKLEDGE, FL 32955-3229
(132) 163-6211
(321) 636-7180
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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