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
20 SAN FILIPPO DR SE, PALM BAY, FL 32909-2200
(321) 725-8300
(321) 725-1555
Mailing address
1430 PINE ST, MELBOURNE, FL 32901-3119
(321) 674-5050
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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