Organization
BREVARD FIRST ASSISTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLI STROBEL RN, RNFA, CNOR, ONC (PRESIDENT)
(321) 637-0553
Entity
Organization
Contact information
Practice address
5190 CINNAMON FERN BLVD, PORT ST JOHN, FL 32927-3403
(321) 637-0553
(321) 637-0552
Mailing address
5190 CINNAMON FERN BLVD, PORT ST JOHN, FL 32927-3403
(321) 637-0553
(321) 637-0552
Taxonomy
Speciality
Code
Description
License number
State
364SP2800X
Perioperative Clinical Nurse Specialist
Primary
2961272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2961272
FLORIDA NURSING LICENSE
FL
Enumeration date
10/11/2006
Last updated
08/22/2020
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