Organization
BREVARD REGIONAL HYPERBARIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BUZA (MEDICAL ASSISTANT)
(321) 676-3200
Entity
Organization
Contact information
Practice address
1698 W HIBISCUS BLVD, SUITE B, MELBOURNE, FL 32901
(321) 676-3200
(321) 802-5101
Mailing address
1698 W HIBISCUS BLVD, SUITE B, MELBOURNE, FL 32901
(321) 676-3200
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
OS6304
FL
2084N0400X
Neurology Physician
OS6304
FL
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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