Edx of Brevard, LLC

NPI #1104445048 in Melbourne, Florida

Provider Information

NPI Number: 1104445048
Entity Type: Organization
Organization Name: Edx of Brevard, LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 10, 2020
Last Updated: Apr 10, 2020

Practice Location

Address: 2955 PINEDA PLAZA WAY STE 104
City: Melbourne
State: Florida
ZIP Code: 32940-7306
Phone: (321) 213-8101

Authorized Official

Name: DR. ROBERT VILLE, DC
Title: PRESIDENT/OWNER
Phone: (321) 213-8101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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