Brevard Surgery Center

LBN: Brevard Surgery Center
Brevard Surgery Center is an health care organization with primary practice located at 665 S Apollo Blvd , Melbourne FL 32901-1485. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Brevard Surgery Center can be contacted via phone (321) 984-3200, or through Mcdaniel, Robyn A via phone (321) 821-7446.

Contact Information

Primary practice address
665 S Apollo Blvd Melbourne FL 32901-1485
Fax: (321) 984-2620
Website:
Authorized official contact:
Name: Mcdaniel, Robyn A CPA

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X PH13979 Florida

Profile Details

NPI number 1770528838
LBN Legal business name Brevard Surgery Center
DBA Doing business as
Authorized official Mcdaniel, Robyn A CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 5th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770528838 NPPES
Florida Other 64E BCBS
Florida MEDICAID 079180600 BCBS
Florida Other 490002578 BCBS

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