North Brevard Medical Support, Inc
North Brevard Medical Support, Inc provides Sports Medicine Podiatrist services in Port St John, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5005 Port St John Pkwy Ste 2100Port St John, FL 32927-4305
Phone: (321) 433-2247
Fax: (321) 635-9310
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine Podiatrist (primary) | Taxonomy 213ES0000X |
|---|
Record details
| NPI number | 1316611049 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kent Bailey — Vp Finance · (321) 268-6111 |
| NPI enumerated | August 5, 2021 |
| Last updated in NPPES | August 5, 2021 |
| Certification date | August 5, 2021 |
| Mailing address | 805 Century Medical Dr Ste C, Titusville, FL 32796-2100 |