Organization
PEDIATRIC HEALTH & WELLNESS OF BREVARD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M MARTIN APRN (PRESIDENT)
(321) 652-2381
Entity
Organization
Contact information
Practice address
3000 N WICKHAM RD STE 5, MELBOURNE, FL 32935-2330
(321) 652-2381
Mailing address
4355 LAKEMONT RD, MELBOURNE, FL 32934-7731
(321) 652-2381
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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