| The Brevard Health Alliance Inc | |
|
220 Barton Blvd Unit C14 Rockledge FL 32955-2742 | |
| (321) 639-5177 | |
| (321) 639-4927 |
| Full Name | The Brevard Health Alliance Inc |
|---|---|
| Speciality | General Practice |
| Location | 220 Barton Blvd, Rockledge, Florida |
| Authorized Official Name and Position | Angela Craig (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 3212416834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Brevard Health Alliance Inc Po Box 1137 Melbourne FL 32902-1137 Ph: (321) 952-9696 | The Brevard Health Alliance Inc 220 Barton Blvd Unit C14 Rockledge FL 32955-2742 Ph: (321) 639-5177 |
| NPI Number | 1518017896 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518017896 | NPI | - | NPPES |
| 6886931-07 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
Internal Medicine Of Brevard, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1978 Rockledge Blvd, Ste 108, Rockledge, FL 32955 Phone: 321-631-0392 Fax: 321-631-5787 | |
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Mental Health Resource Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Barton Blvd Ste 7, Rockledge, FL 32955 Phone: 321-504-3888 Fax: 321-504-3462 | |
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