Organization
BREVARD HEALTH ALLIANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CRAIG (DIRECTOR)
(321) 241-6800
Entity
Organization
Contact information
Practice address
5270 BABCOCK ST NE # ST1, PALM BAY, FL 32905-8630
(321) 722-5959
Mailing address
5270 BABCOCK ST NE # ST1, PALM BAY, FL 32905-8630
(321) 722-5959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6886931-01
—
FL
Enumeration date
01/10/2007
Last updated
06/11/2025
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