Organization
NORTH BREVARD MEDICAL SUPPORT, INC
Active
Other names
Parrish Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MCALPINE (SR VP-ADMINISTRATION)
(321) 268-6111
Entity
Organization
Contact information
Practice address
250 HARRISON ST, TITUSVILLE, FL 32780
(321) 268-6868
(321) 267-2713
Mailing address
805 CENTURY MEDICAL DR STE C, TITUSVILLE, FL 32796-2100
(321) 268-6263
(321) 268-6273
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265539000
—
FL
05
—
265539009
—
FL
Enumeration date
05/03/2006
Last updated
06/14/2022
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