Organization
BREVARD HEALTH ALLIANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CRAIG (DIRECTOR OF BILLING)
(321) 241-6834
Entity
Organization
Contact information
Practice address
2550 GRANT STREET, SUITE 137, MELBOURNE, FL 32901
(321) 334-6940
(321) 334-6912
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
08/03/2021
Last updated
11/30/2022
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