North Brevard Medical Support, INC

NPI #1033883764 in Port St John, Florida

Provider Information

NPI Number
1033883764
Entity Type
Organization
Organization Name
North Brevard Medical Support, INC
Primary Specialty
Family Medicine
Enumeration Date
Aug 5, 2021
Last Updated
Aug 5, 2021

Practice Location

Address
5005 PORT ST JOHN PKWY STE 2500
State
Florida
ZIP Code
32927-4305
Phone
(321) 504-0556

Authorized Official

Name
KENT ANDREW BAILEY
Title
VP FINANCE
Phone
(321) 268-6111

Specialties & Taxonomy Codes

Specialty
Family Medicine

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