Pediatrics In Brevard, P.A.

LBN: Pediatrics In Brevard, P.A.
Pediatrics In Brevard, P.A. is an health care organization with primary practice located at 134 S Woods Dr , Rockledge FL 32955-3262. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatrics In Brevard, P.A. can be contacted via phone (321) 636-3066, or through Loiselle, Melissa via phone (321) 877-4438.

Contact Information

Primary practice address
134 S Woods Dr Rockledge FL 32955-3262
Phone: (321) 636-3066
Fax: (321) 636-2545
Website:
Map and Directions
Authorized official contact:
Name: Loiselle, Melissa
Phone: (321) 877-4438

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1629069240
LBN Legal business name Pediatrics In Brevard, P.A.
DBA Doing business as
Authorized official Loiselle, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 13th, 2021 - about 3 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 1629069240 NPPES
Florida MEDICAID 253255701
Florida MEDICAID 253555703
Florida MEDICAID 253255700
Florida MEDICAID 253255705

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