| Florida Health Care Of Brevard | |
|
1840 Eldron Blvd Se Ste 2 Palm Bay FL 32909-6871 | |
| (561) 523-3973 | |
| Not Available |
| Full Name | Florida Health Care Of Brevard |
|---|---|
| Speciality | Clinic/Center |
| Location | 1840 Eldron Blvd Se Ste 2, Palm Bay, Florida |
| Authorized Official Name and Position | Carlos Lopez (OWNER) |
| Authorized Official Contact | 7222266859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Health Care Of Brevard 1840 Eldron Blvd Se Ste 2 Palm Bay FL 32909-6871 Ph: (772) 226-6859 | Florida Health Care Of Brevard 1840 Eldron Blvd Se Ste 2 Palm Bay FL 32909-6871 Ph: (561) 523-3973 |
| NPI Number | 1598323461 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 7911239108 |
|---|---|
| Medicare Enrollment ID | O20191021001559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598323461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Crisanto R Delgado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366441487 PECOS PAC ID: 0244294676 Enrollment ID: I20041116000583 |
| Provider Name | Andrew R Berkman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710060298 PECOS PAC ID: 8729124946 Enrollment ID: I20091001000327 |
| Provider Name | Joseph Rosado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104068584 PECOS PAC ID: 1355479072 Enrollment ID: I20100517000369 |
| Provider Name | Darla Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811237258 PECOS PAC ID: 8325274657 Enrollment ID: I20131115000477 |
| Provider Name | Jonathan Peach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316375041 PECOS PAC ID: 9335366111 Enrollment ID: I20140819001619 |
| Provider Name | Patricia Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366782203 PECOS PAC ID: 2567609779 Enrollment ID: I20170616000901 |
| Provider Name | Samantha Gloria Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295506764 PECOS PAC ID: 4284078411 Enrollment ID: I20240215003258 |
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