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Organization

NORTH BREVARD MEDICAL SUPPORT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENT ANDREW BAILEY (VP FINANCE)
(321) 268-6111
Entity
Organization

Contact information

Practice address
825 CENTURY MEDICAL DR STE A, TITUSVILLE, FL 32796-2113
(321) 268-6224
(321) 268-6229
Mailing address
805 CENTURY MEDICAL DR STE C, TITUSVILLE, FL 32796-2100
(321) 268-6834
(321) 268-6272

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
08/05/2021
Last updated
08/05/2021
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