Organization
BREVARD HYPERBARICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD T GILROY MD (PRESIDENT)
(321) 254-6218
Entity
Organization
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
551 S APOLLO BLVD, SUITE 201, MELBOURNE, FL 32901-1274
(321) 254-6218
(321) 254-4139
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
FL
Other
Enumeration date
09/29/2011
Last updated
12/20/2011
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