| North Brevard Medical Support, Inc | |
|
805 Century Medical Dr Ste A Titusville FL 32796-2100 | |
| (321) 383-9393 | |
| (321) 385-1118 |
| Full Name | North Brevard Medical Support, Inc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 805 Century Medical Dr Ste A, Titusville, Florida |
| Authorized Official Name and Position | Kent Andrew Bailey (VP FINANCE) |
| Authorized Official Contact | 3212686111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Brevard Medical Support, Inc 805 Century Medical Dr Ste C Titusville FL 32796-2100 Ph: (321) 268-6264 | North Brevard Medical Support, Inc 805 Century Medical Dr Ste A Titusville FL 32796-2100 Ph: (321) 383-9393 |
| NPI Number | 1740957885 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740957885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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