Internal Medicine of Brevard, Pllc

NPI #1003184508 in Rockledge, Florida

Provider Information

NPI Number: 1003184508
Entity Type: Organization
Organization Name: Internal Medicine of Brevard, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Dec 12, 2011
Last Updated: Dec 12, 2011

Practice Location

Address: 1978 ROCKLEDGE BLVD
Address 2: STE 108
City: Rockledge
State: Florida
ZIP Code: 32955-3722
Phone: (321) 631-0392

Authorized Official

Name: DR. JOHN NOLAN SWEENEY JR., D.O.
Title: OWNER/MANAGING AGENT
Phone: (321) 631-0392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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