| Family Medical Care Of Brevard | |
|
258 Fortenberry Rd Merritt Island FL 32952-3619 | |
| (321) 453-3638 | |
| (321) 452-1185 |
| Full Name | Family Medical Care Of Brevard |
|---|---|
| Speciality | Internal Medicine |
| Location | 258 Fortenberry Rd, Merritt Island, Florida |
| Authorized Official Name and Position | Robert H Paxson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3214533638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care Of Brevard 258 Fortenberry Rd Merritt Island FL 32952-3619 Ph: (321) 453-3638 | Family Medical Care Of Brevard 258 Fortenberry Rd Merritt Island FL 32952-3619 Ph: (321) 453-3638 |
| NPI Number | 1578508966 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578508966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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