Brevard Medical Dermatology, Pa

LBN: Brevard Medical Dermatology, Pa
Brevard Medical Dermatology, Pa is an health care organization with primary practice located at 7960 N. Wickham Road Suite 103, Melbourne FL 32940-8096. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Brevard Medical Dermatology, Pa can be contacted via phone (321) 428-4737, or through Spicer, Michael via phone (321) 428-4737.

Contact Information

Primary practice address
7960 N. Wickham Road Suite 103 Melbourne FL 32940-8096
Phone: (321) 428-4737
Fax: (321) 241-6457
Website:
Map and Directions
Authorized official contact:
Name: Spicer, Michael Doctor of Medicine (MD)
Phone: (321) 428-4737

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1649676669
LBN Legal business name Brevard Medical Dermatology, Pa
DBA Doing business as
Authorized official Spicer, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2014
Last updated Feb 21st, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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