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, SUITE 200, MELBOURNE, FL 32935
(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
11/13/2025
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