| Brevard Health Alliance Inc | |
|
5270 Babcock St Ne # St1 Palm Bay FL 32905-8630 | |
| (321) 722-5959 | |
| Not Available |
| Full Name | Brevard Health Alliance Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5270 Babcock St Ne # St1, Palm Bay, Florida |
| Authorized Official Name and Position | Angela Craig (DIRECTOR) |
| Authorized Official Contact | 3212416800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard Health Alliance Inc 5270 Babcock St Ne # St1 Palm Bay FL 32905-8630 Ph: (321) 722-5959 | Brevard Health Alliance Inc 5270 Babcock St Ne # St1 Palm Bay FL 32905-8630 Ph: (321) 722-5959 |
| NPI Number | 1679622120 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 06/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679622120 | NPI | - | NPPES |
| 6886931-01 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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