North Brevard Medical Support, INC
NPI #1316611049 in Port St John, Florida
Provider Information
- NPI Number
- 1316611049
- Entity Type
- Organization
- Organization Name
- North Brevard Medical Support, INC
- Primary Specialty
- Podiatrist - Sports Medicine
- Enumeration Date
- Aug 5, 2021
- Last Updated
- Aug 5, 2021
Practice Location
- Address
- 5005 PORT ST JOHN PKWY STE 2100
- City
- Port St John
- State
- Florida
- ZIP Code
- 32927-4305
- Phone
- (321) 433-2247
Authorized Official
- Name
- KENT ANDREW BAILEY
- Title
- VP FINANCE
- Phone
- (321) 268-6111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Sports Medicine — Sports Medicine |
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