Brevard Physician Associates, Pllc

NPI #1124691159 in Melbourne, Florida

Provider Information

NPI Number: 1124691159
Entity Type: Organization
Organization Name: Brevard Physician Associates, Pllc
Primary Specialty: Radiology - Vascular & Interventional Radiology
Enumeration Date: Jul 19, 2021
Last Updated: Jul 19, 2021

Practice Location

Address: 8075 SPYGLASS HILL RD
City: Melbourne
State: Florida
ZIP Code: 32940-8281
Phone: (321) 837-3820

Authorized Official

Name: MARTY R BROWN, M.D.
Title: MEMBER
Phone: (321) 255-9671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology	2085R0204X	Primary

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