Organization
CANCER CARE CENTERS OF BREVARD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL KNIGHT ERENTREICH (DIRECTOR OF CLINICAL OPERATIONS)
(321) 636-2111
Entity
Organization
Contact information
Practice address
1541 S WICKHAM RD, WEST MELBOURNE, FL 32904-3540
(321) 725-8300
(321) 725-1555
Mailing address
1048 HARVIN WAY, ROCKLEDGE, FL 32955-3229
(132) 163-6211
(321) 636-7180
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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