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Contact Information

CANCER CARE CENTERS OF BREVARD INC
1430 S. PINE ST.
MELBOURNE, FL32901-3119
 Phone: 321-952-0898
 Fax: 321-952-6296
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for CANCER CARE CENTERS OF BREVARD INC · (Female)

NPI Number 1467551762
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2006
Last updated 07/26/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 372996600
  • FL Medicaid 372996601
  • FL Medicaid 372996602
  • FL Medicaid 372996603
  • FL Medicaid 372996604
  • FL Medicaid 372996605
  • FL Medicaid 372996606
  • FL Medicaid 372996618
  • FL Medicaid 372996619
  • FL Medicaid 372996620
  • FL Medicaid 372996623
  • FL Other CL7578 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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