Whalio Doctors

NPI 1013355726

Brevard Health Alliance INC

Organisation Federally Qualified Health Center (FQHC) Melbourne, FL

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
Ambulatory Health Care Facilities Taxonomy 261QF0400X

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.