Organization
BREVARD WELLNESS CLINC 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS RAO DONTINENI M.D. (PRESIDENT)
(321) 751-9506
Entity
Organization
Contact information
Practice address
1264 MALABAR RD SE, PALM BAY, FL 32907-2556
(321) 751-9506
(321) 751-9505
Mailing address
1264 MALABAR RD SE, PALM BAY, FL 32907-2556
(321) 751-9506
(321) 751-9505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME88036
FL
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us