Organization
BREVARD INTEGRATED HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HEINISH D.C. (MANAGER)
(321) 614-8430
Entity
Organization
Contact information
Practice address
1211 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5201
(321) 614-8430
(321) 735-0235
Mailing address
1211 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5201
(321) 614-8430
(321) 735-0235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME90864
FL
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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