The Brevard Health Alliance INC

NPI #1730331109 in Cocoa, Florida

Provider Information

NPI Number
1730331109
Entity Type
Organization
Organization Name
The Brevard Health Alliance INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 16, 2008
Last Updated
Mar 8, 2010

Practice Location

Address
705 BLAKE AVE
Address 2
BLDG G
City
Cocoa
State
Florida
ZIP Code
32922-7100
Phone
(321) 633-6391

Authorized Official

Name
ANGELA CRAIG
Title
BUSINESS OFFICE MANAGER
Phone
(321) 952-9696

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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