Organization
BREVARD WELLNESS CENTER LLC
Active
Other names
Space Coast Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER BICKFORD OMD, LAC (PRESIDENT)
(321) 610-8935
Entity
Organization
Contact information
Practice address
466 N HARBOR CITY BLVD, MELBOURNE, FL 32935-6858
(321) 610-8935
Mailing address
436 BAHIA CT NW, PALM BAY, FL 32907-8700
(321) 610-8935
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP855
FL
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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