Organization
DRS ROBERTS & BRYAN PA
Active
Other names
Brevard Skin & Cancer Centers
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MCGRATH (PRACTICE MANAGER)
(321) 301-4747
Entity
Organization
Contact information
Practice address
1286 FLORIDA AVE S, ROCKLEDGE, FL 32955-2484
(321) 636-7780
(321) 636-1152
Mailing address
1286 FLORIDA AVE S, ROCKLEDGE, FL 32955-2484
(321) 636-7780
(321) 636-1152
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063028400
—
FL
01
—
C11086
RR MEDICARE
FL
Enumeration date
12/21/2005
Last updated
09/20/2024
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