Organization
BREVARD HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY J MARCZUK (OFFICE MANAGER)
(321) 259-5999
Entity
Organization
Contact information
Practice address
240 N WICKHAM RD, SUITE 202, MELBOURNE, FL 32935-8662
(321) 259-5999
(321) 259-5553
Mailing address
240 N WICKHAM RD, SUITE 202, MELBOURNE, FL 32935-8662
(321) 259-5999
(321) 259-5553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME81535
FL
Other
Enumeration date
04/10/2007
Last updated
04/22/2010
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