Organization
BREVARD HEALTH CENTER PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APARNA BALAJI (OPERATING OFFICER)
(321) 215-6899
Entity
Organization
Contact information
Practice address
298 MICHIGAN AVE, SUITE 101, MELBOURNE, FL 32901-3104
(321) 215-6899
(321) 215-6789
Mailing address
298 MICHIGAN AVE, SUITE 101, MELBOURNE, FL 32901-3104
(321) 215-6899
(321) 215-6789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110199177
RAIL ROAD MEDICARE
FL
05
—
257850600
—
FL
Enumeration date
05/03/2010
Last updated
10/22/2024
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