| NPI | 1184954109 |
|---|---|
| Doing Business As | BREVARD MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | HANY GUIRGUIS Partner 321-636-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 88173) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-05-17 |