| Brevard Health Alliance Inc | |
|
2550 Grant Street Suite 137 Melbourne FL 32901 | |
| (321) 334-6940 | |
| (321) 334-6912 |
| Full Name | Brevard Health Alliance Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2550 Grant Street, Melbourne, Florida |
| Authorized Official Name and Position | Angela Craig (DIRECTOR OF BILLING) |
| Authorized Official Contact | 3212416834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard Health Alliance Inc Po Box 1137 Melbourne FL 32902-1137 Ph: (321) 952-9696 | Brevard Health Alliance Inc 2550 Grant Street Suite 137 Melbourne FL 32901 Ph: (321) 334-6940 |
| NPI Number | 1184398380 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 11/30/2022 |
| Medicare PECOS PAC ID | 0446201768 |
|---|---|
| Medicare Enrollment ID | O20211014000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184398380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Donald H. Dehaven Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8057 Spyglass Hill Rd, Unit 104, Melbourne, FL 32940 Phone: 321-622-8943 Fax: 321-622-8945 | |
Unconditional Love Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1495 N. Harbor City Blvd., Suite F, Melbourne, FL 32935 Phone: 321-253-0646 Fax: 321-253-1004 | |
Osler Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 S Harbor City Blvd, Melbourne, FL 32901 Phone: 321-725-5050 Fax: 321-725-9100 | |
Unconditional Love Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1509 N Harbor City Blvd, Melbourne, FL 32935 Phone: 321-253-0846 Fax: 321-253-1004 | |
Lauren Romeo Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 W Hibiscus Blvd Ste B, Melbourne, FL 32901 Phone: 321-676-2012 | |
Brevard Health Alliance Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-952-9696 Fax: 321-952-7937 | |
First Locums Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3248 Cortona Dr, Melbourne, FL 32940 Phone: 321-735-8301 Fax: 321-735-8301 |