Organization
URGENT CARE CENTERS OF BREVARD COUNTY LLC
Active
Parent organization
URGENT CARE CENTERS OF BREVARD COUNTY LLC
Other names
Health First AdventHealth Centra Care Titusville
Organization subpart
Yes
Provider details
NPI number
Legal business name
URGENT CARE CENTERS OF BREVARD COUNTY LLC
Authorized official
SCOTT C. BRADY MD (PRESIDENT)
(407) 200-2300
Entity
Organization
Contact information
Practice address
2335 S WASHINGTON AVE, TITUSVILLE, FL 32780-4737
(407) 200-2300
Mailing address
2600 WESTHALL LN STE 300, MAITLAND, FL 32751-7107
(407) 200-2300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105816701
—
FL
01
—
MOJBM
BCBS
FL
01
—
MQ224
MEDICARE
FL
Enumeration date
02/05/2020
Last updated
04/20/2023
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