NPI 1013355726
Brevard Health Alliance INC
Practice location
- Address
- 2120 Sarno Rd, Melbourne, FL 32935-3084
- Phone
- (321) 952-9696
- Fax
- (321) 952-7937
- Mailing address
- PO Box 1137, Melbourne, FL 32902-1137
Authorised official
- Name
- Angela Craig
- Title
- Business Office Manager
- Phone
- (321) 952-9696
Registered specialties
Federally Qualified Health Center (FQHC)
Primary
Registry record
- NPI
- 1013355726
- Entity type
- Organization
- NPI issued
- 5 Jun 2013
- Record last updated
- 27 Jul 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.