NPI 1295832343

Ob/Gyn Specialists of Brevard, LLC

Organisation Specialist Melbourne, FL

Practice location

Address: 1555 W Nasa Blvd, Melbourne, FL 32901-2640
Phone: (321) 733-2201
Fax: (321) 733-2202

Authorised official

Name: Edwin Bruce Hayes
Title: Medical Doctor/Owner
Phone: (321) 733-2201

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence ME69211 (FL)

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Registry record

NPI: 1295832343
Entity type: Organization
NPI issued: 20 Sep 2006
Record last updated: 12 Oct 2011

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.