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Organization
NORTH BREVARD MEDICAL SUPPORT, INC
Active
Organization
NORTH BREVARD MEDICAL SUPPORT, INC
Active
Parent organization
NORTH BREVARD MEDICAL SUPPORT, INC.
Other names
North Brevard Medical Support, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH BREVARD MEDICAL SUPPORT, INC.
Authorized official
GEORGE MIKITARIAN PRESIDENT/CEO (PRESIDENT/CEO)
(321) 268-6111
Entity
Organization
Contact information
Practice address
7075 N US HIGHWAY 1, COCOA, FL 32927-5216
(321) 268-6111
(321) 268-6231
Mailing address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
(321) 268-6111
(321) 268-6231
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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