Organization
BREVARD ACCIDENT & WORK INJURY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENEANE MARIE WAKULA (OFFICE MANAGER)
(772) 263-1642
Entity
Organization
Contact information
Practice address
2090 SARNO RD, MELBOURNE, FL 32935-3077
(954) 818-3160
Mailing address
2090 SARNO RD, MELBOURNE, FL 32935-3077
(954) 818-3160
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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