| North Brevard Medical Support, Inc | |
|
825 Century Medical Dr Ste A Titusville FL 32796-2113 | |
| (321) 268-6224 | |
| (321) 268-6229 |
| Full Name | North Brevard Medical Support, Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 825 Century Medical Dr Ste A, Titusville, Florida |
| Authorized Official Name and Position | Kent Andrew Bailey (VP FINANCE) |
| Authorized Official Contact | 3212686111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Brevard Medical Support, Inc 805 Century Medical Dr Ste C Titusville FL 32796-2100 Ph: (321) 268-6834 | North Brevard Medical Support, Inc 825 Century Medical Dr Ste A Titusville FL 32796-2113 Ph: (321) 268-6224 |
| NPI Number | 1184398828 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184398828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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