| Brevard Universal Clinical Services, Llc | |
|
1385 Cypress Ave Unit 107 Melbourne FL 32935-5919 | |
| (973) 886-0045 | |
| Not Available |
| Full Name | Brevard Universal Clinical Services, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1385 Cypress Ave Unit 107, Melbourne, Florida |
| Authorized Official Name and Position | Andrew Grossman (OWNER) |
| Authorized Official Contact | 9738860045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard Universal Clinical Services, Llc 1385 Cypress Ave Unit 107 Melbourne FL 32935-5919 Ph: (973) 886-0045 | Brevard Universal Clinical Services, Llc 1385 Cypress Ave Unit 107 Melbourne FL 32935-5919 Ph: (973) 886-0045 |
| NPI Number | 1902644644 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902644644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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