Organization
BREVARD PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINAY KUMAR MD (OFFICER)
(321) 632-0552
Entity
Organization
Contact information
Practice address
7137 N US HIGHWAY 1, COCOA, FL 32927-5094
(321) 632-0552
(321) 632-1684
Mailing address
833 BARTON BLVD, ROCKLEDGE, FL 32955-3127
(321) 632-0552
(321) 632-1684
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME78264
FL
Other
Enumeration date
04/30/2010
Last updated
09/09/2010
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