Organization
BREVARD HEALTH ALLIANCE INC
Active
Other names
Family Promise Firehouse Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CRAIG (DIRECTOR OF BILLING)
(321) 241-6834
Entity
Organization
Contact information
Practice address
114 1ST ST OFC 137, COCOA, FL 32922-7767
(321) 241-6800
(321) 241-6890
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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