Ob/Gyn Specialists Of Brevard, Llc

LBN: Ob/Gyn Specialists Of Brevard, Llc
Ob/Gyn Specialists Of Brevard, Llc is an health care organization with primary practice located at 1555 W Nasa Blvd , Melbourne FL 32901-2640. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ob/Gyn Specialists Of Brevard, Llc can be contacted via phone (321) 733-2201, or through Hayes, Edwin Bruce via phone (321) 733-2201.

Contact Information

Primary practice address
1555 W Nasa Blvd Melbourne FL 32901-2640
Phone: (321) 733-2201
Fax: (321) 733-2202
Website:
Map and Directions
Authorized official contact:
Name: Hayes, Edwin Bruce Doctor of Medicine (MD)
Phone: (321) 733-2201

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME69211 Florida

Profile Details

NPI number 1295832343
LBN Legal business name Ob/Gyn Specialists Of Brevard, Llc
DBA Doing business as
Authorized official Hayes, Edwin Bruce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 12th, 2011 - about 13 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 1295832343 NPPES
Florida MEDICAID 259101400

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