| NPI | 1093456113 |
|---|---|
| Doing Business As | BREVARD COLLEGE STUDENT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MOUZON BASS Administrator/Agent 972-367-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |