Brevard Pain Care PA
NPI #1043342595 in Merritt Island, Florida
Provider Information
- NPI Number
- 1043342595
- Entity Type
- Organization
- Organization Name
- Brevard Pain Care PA
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 11, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 190 S SYKES CREEK PKWY
- Address 2
- SUITE 1
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32952-3572
- Phone
- (321) 455-6353
Authorized Official
- Name
- MAHMOUD A EL-TOBGUI, M.D.
- Title
- PRESIDENT
- Phone
- (321) 455-6353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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