Brevard Universal Clinical Services, Llc | |
1385 Cypress Ave Unit 107 Melbourne FL 32935-5919 | |
(973) 886-0045 | |
Not Available |
Full Name | Brevard Universal Clinical Services, Llc |
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Speciality | General Practice |
Location | 1385 Cypress Ave Unit 107, Melbourne, Florida |
Authorized Official Name and Position | Andrew George Grossman (MD/OWNER) |
Authorized Official Contact | 9738860045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brevard Universal Clinical Services, Llc 1385 Cypress Ave Unit 107 Melbourne FL 32935-5919 Ph: (973) 886-0045 | Brevard Universal Clinical Services, Llc 1385 Cypress Ave Unit 107 Melbourne FL 32935-5919 Ph: (973) 886-0045 |
NPI Number | 1902644644 |
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Provider Enumeration Date | 07/17/2024 |
Last Update Date | 12/04/2024 |
Identifier | Type | State | Issuer |
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1902644644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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