Organization
BREVARD HEALTH ALLIANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CRAIG (DIRECTOR OF BILLING)
(321) 698-3446
Entity
Organization
Contact information
Practice address
601 E UNIVERSITY BLVD, MELBOURNE, FL 32901-7121
(321) 241-6800
(321) 241-6888
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6886931-33
—
FL
Enumeration date
11/04/2022
Last updated
11/04/2022
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