BREVARD PRIMARY CARE LLC

MELBOURNE, FL
NPI1376958462
Entity TypeOrganization
Authorized ContactBHAVANI M PUSKUR
Practice Owner
321-948-8555
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2014-06-26
Last Update Date2014-06-26
Business Address
BREVARD PRIMARY CARE LLC
1185 TALON WAY
MELBOURNE, FL 32934-3257
Phone number: 321-948-8555
Mailing Address
BREVARD PRIMARY CARE LLC
1185 TALON WAY
MELBOURNE, FL 32934-3257
Phone number: