| Brevard Primary Care Llc | |
|
1185 Talon Way Melbourne FL 32934-3257 | |
| (321) 948-8555 | |
| Not Available |
| Full Name | Brevard Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1185 Talon Way, Melbourne, Florida |
| Authorized Official Name and Position | Bhavani M Puskur (PRACTICE OWNER) |
| Authorized Official Contact | 3219488555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard Primary Care Llc 1185 Talon Way Melbourne FL 32934-3257 Ph: () - | Brevard Primary Care Llc 1185 Talon Way Melbourne FL 32934-3257 Ph: (321) 948-8555 |
| NPI Number | 1376958462 |
|---|---|
| Provider Enumeration Date | 06/26/2014 |
| Last Update Date | 06/26/2014 |
| Medicare PECOS PAC ID | 1153541669 |
|---|---|
| Medicare Enrollment ID | O20141006001145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376958462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bhavani S Puskur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760453427 PECOS PAC ID: 6800811779 Enrollment ID: I20051010000794 |
| Provider Name | Amy Jagdmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184268856 PECOS PAC ID: 6305224742 Enrollment ID: I20220526000039 |
Donald H. Dehaven Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8057 Spyglass Hill Rd, Unit 104, Melbourne, FL 32940 Phone: 321-622-8943 Fax: 321-622-8945 | |
Comprehensive Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1495 N. Harbor City Blvd., Suite F, Melbourne, FL 32935 Phone: 321-253-0646 Fax: 321-253-1004 | |
Crane Creek Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 S Harbor City Blvd, Melbourne, FL 32901 Phone: 321-725-5050 Fax: 321-725-9100 | |
Comprehensive Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1509 N Harbor City Blvd, Melbourne, FL 32935 Phone: 321-253-0846 Fax: 321-253-1004 | |
Sarno Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-952-9696 Fax: 321-952-7937 | |
First Locums Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3248 Cortona Dr, Melbourne, FL 32940 Phone: 321-735-8301 Fax: 321-735-8301 | |
Family First Physicians Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 E New Haven Ave, Melbourne, FL 32901 Phone: 321-722-5846 |