Brevard Health Alliance | |
775 Malabar Rd Malabar FL 32950-3120 | |
(321) 722-8435 | |
(321) 722-8486 |
Full Name | Brevard Health Alliance |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 775 Malabar Rd, Malabar, Florida |
Authorized Official Name and Position | Angela Craig (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 3219529696 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brevard Health Alliance 775 Malabar Rd Malabar FL 32950-3120 Ph: (321) 722-8435 | Brevard Health Alliance 775 Malabar Rd Malabar FL 32950-3120 Ph: (321) 722-8435 |
NPI Number | 1528330826 |
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Provider Enumeration Date | 02/01/2012 |
Last Update Date | 02/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528330826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |