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Organization

NORTH BREVARD CHILDREN'S MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS G BARIMO M.D. (PRESIDENT)
(321) 267-5965
Entity
Organization

Contact information

Practice address
1653 JESS PARRISH CT, TITUSVILLE, FL 32796-2145
(321) 267-5965
(321) 267-8487
Mailing address
1653 JESS PARRISH CT, TITUSVILLE, FL 32796-2145
(321) 267-5965
(321) 267-8487

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
081197
CIGNA
FL
01
229946
AMERIGROUP
FL
01
39730
BLUE CROSS/BLUE SHIELD
FL
01
69355
AETNA
FL
Enumeration date
11/22/2005
Last updated
08/22/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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