Organization
MEDICAL ASSOCIATES OF BREVARD LLC
Active
Organization
MEDICAL ASSOCIATES OF BREVARD LLC
Active
Other names
Medical Associates of Brevard, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON ALVAREZ (CREDENTIALING COORDINATOR)
(321) 253-2900
Entity
Organization
Contact information
Practice address
2200 W EAU GALLIE BLVD STE 200, MELBOURNE, FL 32935-3166
(321) 253-2900
(321) 435-0100
Mailing address
PO BOX 361095, MELBOURNE, FL 32936-1095
(321) 253-2900
(321) 435-0100
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250155400
—
FL
Enumeration date
08/03/2006
Last updated
06/26/2026
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