| Brevard Wellness Clinc 1 Llc | |
|
1264 Malabar Rd Se Palm Bay FL 32907-2556 | |
| (321) 751-9506 | |
| (321) 751-9505 |
| Full Name | Brevard Wellness Clinc 1 Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1264 Malabar Rd Se, Palm Bay, Florida |
| Authorized Official Name and Position | Srinivas Rao Dontineni (PRESIDENT) |
| Authorized Official Contact | 3217519506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard Wellness Clinc 1 Llc 1264 Malabar Rd Se Palm Bay FL 32907-2556 Ph: (321) 751-9506 | Brevard Wellness Clinc 1 Llc 1264 Malabar Rd Se Palm Bay FL 32907-2556 Ph: (321) 751-9506 |
| NPI Number | 1043633795 |
|---|---|
| Provider Enumeration Date | 01/31/2014 |
| Last Update Date | 01/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043633795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME88036 (Florida) | Primary |
Apollo Healthcare Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1326 Malabar Rd Se Ste 3, Palm Bay, FL 32907 Phone: 321-409-6100 Fax: 321-409-6063 | |
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Caremax Medical Centers Of Central Florida, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 Malabar Rd Se Ste 2, Palm Bay, FL 32907 Phone: 321-325-6420 | |
Caremax Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Malabar Road Se, Palm Bay, FL 32907 Phone: 321-325-6420 Fax: 321-325-6421 | |
Brevard Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5270 Babcock St Ne # St1, Palm Bay, FL 32905 Phone: 321-722-5973 | |
Solace Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1890 Palm Bay Rd Ne Ste 1, Palm Bay, FL 32905 Phone: 407-588-7835 |