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Organization

BREVARD TNT HOLDINGS

Active
Parent organization
TRIDENT HEALTHCARE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRIDENT HEALTHCARE LLC
Authorized official
TAMARA EDELSTEIN-SNIDER APRN (OWNER)
(321) 364-2822
Entity
Organization

Contact information

Practice address
7960 N WICKHAM RD STE 101, MELBOURNE, FL 32940-8096
(321) 364-2822
(877) 684-0805
Mailing address
7960 N WICKHAM RD STE 101, MELBOURNE, FL 32940-8096
(321) 364-2822

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
01/07/2025
Last updated
01/07/2025
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