Organization
BREVARD CARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA ANN MILES M.A. (PROGRAM MANAGER)
(321) 632-2737
Entity
Organization
Contact information
Practice address
4085 US HIGHWAY 1, ROCKLEDGE, FL 32955-5307
(321) 632-2737
(321) 633-1963
Mailing address
4085 US HIGHWAY 1, ROCKLEDGE, FL 32955-5307
(321) 632-2737
(321) 633-1963
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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