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Organization

BREVARD HEALTH ALLIANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA CRAIG (BUSINESS OFFICE MANAGER)
(321) 952-9696
Entity
Organization

Contact information

Practice address
775 MALABAR RD, MALABAR, FL 32950-3120
(321) 722-8435
(321) 722-8486
Mailing address
775 MALABAR RD, MALABAR, FL 32950-3120
(321) 722-8435
(321) 722-8486

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
02/01/2012
Last updated
02/01/2012
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