NPI Profile for CANCER CARE CENTERS OF BREVARD INC in MELBOURNE, FL.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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 |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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CANCER CARE CENTERS OF BREVARD INC
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