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Organization

COASTAL HEALTH SYSTEMS OF BREVARD, INC.

Active
Other names
Coastal Ambulance Service
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANDREA BROOKE TAYLOR (CEO)
(321) 633-7050
Entity
Organization

Contact information

Practice address
486 GUS HIPP BLVD, ROCKLEDGE, FL 32955-4800
(321) 633-7050
(321) 632-3005
Mailing address
486 GUS HIPP BLVD, ROCKLEDGE, FL 32955-4800
(321) 633-7050
(321) 632-3005

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3416L0300X
Land Ambulance
002591
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086957100
FL
01
A0608
AMBULANCE
FL
Enumeration date
02/16/2006
Last updated
12/30/2024
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