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Organization
LHCG CCX, LLC
Active
Organization
LHCG CCX, LLC
Active
Other names
Brevard Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
8060 SPYGLASS HILL ROAD, VIERA, FL 32940-8119
(321) 806-1874
(321) 806-1875
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
07/03/2024
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