North Brevard Medical Support, Inc

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1619644762

North Brevard Medical Support, Inc provides Critical Care Medicine (Internal Medicine) Physician services in Titusville, Florida. Registered with an NPI since 2021.

In the registry since: 2021
Specialties on file: 2

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

951 N Washington Ave
Titusville, FL 32796-2163
Phone: (321) 268-6795
Fax: (321) 268-6360

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary)	Taxonomy 207RC0200X
Urology Physician	Taxonomy 208800000X

Record details

NPI number	1619644762
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Kent Bailey — Vp Finance · (321) 268-6111
NPI enumerated	August 26, 2021
Last updated in NPPES	August 26, 2021
Certification date	August 5, 2021
Mailing address	805 Century Medical Dr Ste C, Titusville, FL 32796-2100