Brevard Wellness Clinc 1 Llc

LBN: Brevard Wellness Clinc 1 Llc
Brevard Wellness Clinc 1 Llc is an health care organization with primary practice located at 1264 Malabar Rd Se , Palm Bay FL 32907-2556. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Brevard Wellness Clinc 1 Llc can be contacted via phone (321) 751-9506, or through Dontineni, Srinivas Rao via phone (321) 751-9506.

Contact Information

Primary practice address
1264 Malabar Rd Se Palm Bay FL 32907-2556
Phone: (321) 751-9506
Fax: (321) 751-9505
Website:
Map and Directions
Authorized official contact:
Name: Dontineni, Srinivas Rao Doctor of Medicine (MD)
Phone: (321) 751-9506

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME88036 Florida

Profile Details

NPI number 1043633795
LBN Legal business name Brevard Wellness Clinc 1 Llc
DBA Doing business as
Authorized official Dontineni, Srinivas Rao Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2014
Last updated Jan 31st, 2014 - about 10 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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