Cancer Care Centers Of Brevard

LBN: Cancer Care Centers Of Brevard
Cancer Care Centers Of Brevard is an health care organization with primary practice located at 1048 Harvin Way , Rockledge FL 32955. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Cancer Care Centers Of Brevard can be contacted via phone (321) 636-2111, or through Erentreich, Gail K via phone (321) 636-2111.

Contact Information

Primary practice address
1048 Harvin Way Rockledge FL 32955
Phone: (321) 636-2111
Fax: (321) 636-7180
Website:
Map and Directions
Authorized official contact:
Name: Erentreich, Gail K
Phone: (321) 636-2111

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 64498 Florida

Profile Details

NPI number 1902214588
LBN Legal business name Cancer Care Centers Of Brevard
DBA Doing business as
Authorized official Erentreich, Gail K
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2014
Last updated Aug 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902214588 NPPES
Florida Other 39835 GROUP MEDICARE
Florida MEDICAID 265641800 GROUP MEDICARE

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