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
240 N WICKHAM RD STE 101, MELBOURNE, FL 32935-8663
(321) 752-4811
(321) 752-4822
Mailing address
1430 PINE ST, MELBOURNE, FL 32901-3119
(321) 952-0898
(321) 722-1342
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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