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1558852715
BREVARD INTEGRATED HEALTH CENTER LLC
ROCKLEDGE, FL
NPI
1558852715
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Entity Type
Organization
Authorized Contact
DAVID HEINISH
Manager
321-614-8430
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME90864)
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
BREVARD INTEGRATED HEALTH CENTER LLC
1211 ADMIRALTY BLVD
ROCKLEDGE, FL 32955-5201
Phone number: 321-614-8430
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Mailing Address
BREVARD INTEGRATED HEALTH CENTER LLC
1211 ADMIRALTY BLVD
ROCKLEDGE, FL 32955-5201
Phone number: 321-614-8430
Copy
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