NPI | 1861400103 |
---|---|
Former Legal Business Name | MEDICAL ASSOCIATES OF BREVARD, P.A. |
Entity Type | Organization |
Authorized Contact | GERARD L. BESSETTE Administrator 321-253-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-08-03 |
Last Update Date | 2024-02-08 |