Brevard Health Alliance INC

NPI #1962857417 in Cocoa, Florida

Provider Information

NPI Number: 1962857417
Entity Type: Organization
Organization Name: Brevard Health Alliance INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: May 3, 2016
Last Updated: Jun 17, 2016

Practice Location

Address: 7227 N US HIGHWAY 1
City: Cocoa
State: Florida
ZIP Code: 32927-5020
Phone: (321) 877-2740

Authorized Official

Name: ANGELA CRAIG
Title: BUSINESS OFFICE MANAGER
Phone: (321) 241-6834

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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