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Organization

BREVARD PSYCHIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH SIN (PRESIDENT)
(801) 609-8388
Entity
Organization

Contact information

Practice address
759 GLENGARRY DR, MELBOURNE, FL 32940-1867
(801) 609-8388
(801) 797-0245
Mailing address
759 GLENGARRY DR, MELBOURNE, FL 32940-1867
(801) 609-8388
(801) 797-0245

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PF675
FL MEDICARE
FL
Enumeration date
06/02/2022
Last updated
08/31/2022
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