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Contact Information

BREVARD HEALTH GROUP LLC
1301 W EAU GALLIE BLVD STE 112
MELBOURNE, FL32935
 Phone: 321-327-9788
 Fax: 321-320-7636
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for BREVARD HEALTH GROUP LLC

NPI Number 1346723244
LBN Legal business name BREVARD HEALTH GROUP LLC
Authorized official VIJAY KATUKURI - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/07/2018
Last updated 10/10/2018 - About 8 years ago
Identifiers n/a
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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