Organization
BREVARD INTERNAL MEDICINE & WALK-IN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARAVIND KUMAR MD (SOLE OWNER)
(321) 622-8626
Entity
Organization
Contact information
Practice address
2795 W NEW HAVEN AVE, W MELBOURNE, FL 32904-3705
(321) 622-8626
(321) 622-8627
Mailing address
PO BOX 411685, MELBOURNE, FL 32941-1685
(321) 622-8626
(321) 622-8627
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
ARNP 2107012
FL
261QP2300X
Primary Care Clinic/Center
Primary
ME97764
FL
Other
Enumeration date
12/11/2009
Last updated
02/07/2014
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