Brevard Health Alliance

NPI #1952451239 in Cocoa, Florida

Provider Information

NPI Number: 1952451239
Entity Type: Organization
Organization Name: Brevard Health Alliance
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jan 11, 2007
Last Updated: Nov 4, 2010

Practice Location

Address: 15 ROSA L JONES BLVD
City: Cocoa
State: Florida
ZIP Code: 32922-7899
Phone: (321) 639-5177

Authorized Official

Name: MARSHA VENDETTI
Title: OPERATIONS MANAGER
Phone: (321) 722-5970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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