| Internal Medicine Of Brevard, Pllc | |
|
1978 Rockledge Blvd Ste 108 Rockledge FL 32955-3722 | |
| (321) 631-0392 | |
| (321) 631-5787 |
| Full Name | Internal Medicine Of Brevard, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1978 Rockledge Blvd, Rockledge, Florida |
| Authorized Official Name and Position | John Nolan Sweeney (OWNER/MANAGING AGENT) |
| Authorized Official Contact | 3216310392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Brevard, Pllc 1978 Rockledge Blvd Ste 108 Rockledge FL 32955-3722 Ph: (321) 631-0392 | Internal Medicine Of Brevard, Pllc 1978 Rockledge Blvd Ste 108 Rockledge FL 32955-3722 Ph: (321) 631-0392 |
| NPI Number | 1003184508 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 12/12/2011 |
| Medicare PECOS PAC ID | 7315103967 |
|---|---|
| Medicare Enrollment ID | O20120725000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003184508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS6941 (Florida) | Primary |
| Provider Name | John N Sweeney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992702054 PECOS PAC ID: 7719949726 Enrollment ID: I20041102000486 |
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