| Prevent Of Brevard | |
|
1948 Pineapple Ave Melbourne FL 32935-7609 | |
| (321) 259-7262 | |
| (321) 259-7198 |
| Full Name | Prevent Of Brevard |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1948 Pineapple Ave, Melbourne, Florida |
| Authorized Official Name and Position | Helen Kay Heimmer (PRESIDENT/CEO) |
| Authorized Official Contact | 3212597262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevent Of Brevard 1948 Pineapple Ave Melbourne FL 32935-7609 Ph: (321) 259-7262 | Prevent Of Brevard 1948 Pineapple Ave Melbourne FL 32935-7609 Ph: (321) 259-7262 |
| NPI Number | 1538369632 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 07/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538369632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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