| NPI | 1225060338 |
|---|---|
| Former Legal Business Name | BREVARD REHABILITATION MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRIAN CHRISTOPHER DOWDELL CEO/Med Director 321-733-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME0076009) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME109841) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-07-18 |