South Brevard Holistic Center, Inc. | |
2174 Harris Ave Ne Suite 3 Palm Bay FL 32905-4040 | |
(321) 574-5719 | |
(321) 952-0697 |
Full Name | South Brevard Holistic Center, Inc. |
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Speciality | Clinic/center |
Location | 2174 Harris Ave Ne, Palm Bay, Florida |
Authorized Official Name and Position | Cheslye Philoche (MASSAGE THERAPIST/MANAGER) |
Authorized Official Contact | 3215745719 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Brevard Holistic Center, Inc. 2174 Harris Ave Ne Suite 3 Palm Bay FL 32905-4040 Ph: (321) 574-5719 | South Brevard Holistic Center, Inc. 2174 Harris Ave Ne Suite 3 Palm Bay FL 32905-4040 Ph: (321) 574-5719 |
NPI Number | 1730346065 |
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Provider Enumeration Date | 05/22/2008 |
Last Update Date | 05/22/2008 |
Identifier | Type | State | Issuer |
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1730346065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | HCC7823 (Florida) | Primary |
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