Organization
BREVARD HEALTH ALLIANCE INC
Active
Other names
Garden Street
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CRAIG (BUSINESS OFFICE MANAGER)
(321) 952-9696
Entity
Organization
Contact information
Practice address
4000 N RIVERSIDE DR, INDIAN HARBOUR BEACH, FL 32937-4842
(321) 914-5557
(321) 434-1975
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/20/2013
Last updated
04/01/2013
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