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105 S Banana River Blvd Cocoa Beach FL 32931-5041 | |
(407) 200-2300 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Urgent Care |
Location | 105 S Banana River Blvd, Cocoa Beach, Florida |
Authorized Official Name and Position | Scott C Brady (PRESIDENT) |
Authorized Official Contact | 4072002300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2600 Westhall Ln Ste 300 Maitland FL 32751-7107 Ph: (407) 200-2300 | 105 S Banana River Blvd Cocoa Beach FL 32931-5041 Ph: (407) 200-2300 |
NPI Number | 1083246334 |
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Provider Enumeration Date | 02/05/2020 |
Last Update Date | 04/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083246334 | NPI | - | NPPES |
105815704 | Medicaid | FL | |
K02G9 | Other | FL | BCBS |
MQ224 | Other | FL | MEDICARE |
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