North Brevard Medical Support, Inc | |
7075 N Us Highway 1 Cocoa FL 32927-5216 | |
(321) 268-6111 | |
(321) 268-6231 |
Full Name | North Brevard Medical Support, Inc |
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Speciality | Behavior Analyst |
Location | 7075 N Us Highway 1, Cocoa, Florida |
Authorized Official Name and Position | George Mikitarian (PRESIDENT/CEO) |
Authorized Official Contact | 3212686111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Brevard Medical Support, Inc 951 N Washington Ave Titusville FL 32796-2163 Ph: (321) 268-6111 | North Brevard Medical Support, Inc 7075 N Us Highway 1 Cocoa FL 32927-5216 Ph: (321) 268-6111 |
NPI Number | 1841829280 |
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Provider Enumeration Date | 04/07/2020 |
Last Update Date | 04/07/2020 |
Certification Date | 04/07/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841829280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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