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Contact Information

BREVARD PATHOLOGY PA
8745 N WICKHAM RD
MELBOURNE, FL32940-5997
 Phone: 305-666-2427
 Fax: 305-667-0239
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for BREVARD PATHOLOGY PA

NPI # 1710270095
LBN Legal business name BREVARD PATHOLOGY PA
Authorized official MARCO BURENKO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2011
Last updated 05/19/2011 - About 15 years ago
Identifiers
FL License # ME 51687
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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