Organization
EDX OF BREVARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT VILLE DC (PRESIDENT/OWNER)
(321) 213-8101
Entity
Organization
Contact information
Practice address
2955 PINEDA PLAZA WAY STE 104, MELBOURNE, FL 32940-7306
(321) 213-8101
(844) 228-4426
Mailing address
2955 PINEDA PLAZA WAY STE 104, MELBOURNE, FL 32940-7306
(321) 213-8101
(844) 228-4426
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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