Organization
EYE CENTERS OF BREVARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND HERMIDA (OWNER)
(321) 726-6551
Entity
Organization
Contact information
Practice address
2229 W NEW HAVEN AVE, W MELBOURNE, FL 32904-3805
(321) 726-6551
Mailing address
2229 W NEW HAVEN AVE, W MELBOURNE, FL 32904-3805
(321) 726-6551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2898
FL
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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