| Brevard Health Alliance | |
|
2550 Grant St Ste 137 Melbourne FL 32901-6006 | |
| (321) 334-6940 | |
| (321) 334-6912 |
| Full Name | Brevard Health Alliance |
|---|---|
| Speciality | General Practice |
| Location | 2550 Grant St Ste 137, Melbourne, Florida |
| Authorized Official Name and Position | Angela Craig (DIRECTOR OF BILLING) |
| Authorized Official Contact | 3216983446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard Health Alliance Po Box 1137 Melbourne FL 32902-1137 Ph: (321) 952-9696 | Brevard Health Alliance 2550 Grant St Ste 137 Melbourne FL 32901-6006 Ph: (321) 334-6940 |
| NPI Number | 1558088070 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558088070 | NPI | - | NPPES |
| 688693129 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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