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Organization

BREVARD HEALTH ALLIANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHA VENDETTI (OPERATIONS MANAGER)
(321) 722-5970
Entity
Organization

Contact information

Practice address
5270 BABCOCK ST NE # ST1, PALM BAY, FL 32905-8630
(321) 722-5973
Mailing address
5270 BABCOCK ST NE # ST1, PALM BAY, FL 32905-8630
(321) 722-5973

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
01/16/2007
Last updated
08/22/2020
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