Organization
FOOT AND ANKLE ASSOCIATES OF BREVARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED BRIANT MOYLES (OWNER)
(321) 960-9040
Entity
Organization
Contact information
Practice address
4020 FAIR POINT LN, MELBOURNE, FL 32934-8436
(321) 960-9040
Mailing address
4020 FAIR POINT LN, MELBOURNE, FL 32934-8436
(321) 960-9040
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 3545
FL
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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