BREVARD NEPHROLOGY GROUP PA

MERRITT ISLAND, FL
NPI1003029786
Entity TypeOrganization
Authorized ContactCHARLES K WANICH
Physician
321-453-5326
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine Nephrology
Enumeration Date2007-05-08
Last Update Date2012-11-14
Business Address
BREVARD NEPHROLOGY GROUP PA
245 S COURTENAY PARKWAY BLDG B
MERRITT ISLAND, FL 32952
Phone number: 321-453-5326
Mailing Address
BREVARD NEPHROLOGY GROUP PA
245 S COURTENAY PARKWAY BLDG B
MERRITT ISLAND, FL 32952
Phone number: 321-453-5326
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