| Brevard Health Alliance | |
|
15 Rosa L Jones Blvd Cocoa FL 32922-7899 | |
| (321) 639-5177 | |
| Not Available |
| Full Name | Brevard Health Alliance |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 15 Rosa L Jones Blvd, Cocoa, Florida |
| Authorized Official Name and Position | Marsha Vendetti (OPERATIONS MANAGER) |
| Authorized Official Contact | 3217225970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard Health Alliance 15 Rosa L Jones Blvd Cocoa FL 32922-7899 Ph: (321) 639-5177 | Brevard Health Alliance 15 Rosa L Jones Blvd Cocoa FL 32922-7899 Ph: (321) 639-5177 |
| NPI Number | 1952451239 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 11/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952451239 | NPI | - | NPPES |
| 6886931-09 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ana Conde Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2428 Clearlake Rd Bldg K, Cocoa, FL 32922 Phone: 321-368-3862 | |
Ricardo Antonio Henriques M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Delannoy Ave, Cocoa, FL 32922 Phone: 321-631-6995 Fax: 321-633-1004 | |
Brevard Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Blake Ave, Bldg G, Cocoa, FL 32922 Phone: 321-633-6391 Fax: 321-633-6441 | |
Steward Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 W Point Dr, Cocoa, FL 32922 Phone: 615-467-4158 Fax: 615-467-1267 | |
Brevard Health Alliance Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Pineda St, Cocoa, FL 32922 Phone: 321-241-6800 Fax: 321-241-6888 | |
Rameshwar N Mathur Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6250 N Us 1, Cocoa, FL 32927 Phone: 321-631-6402 Fax: 321-633-7041 | |
Shane C Hernesman Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 Delannoy Ave, Cocoa, FL 32922 Phone: 321-631-4940 Fax: 321-631-4941 |