National Provider Identifier Database

CANCER CARE CENTERS OF BREVARD INC
Specialist

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.


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
* Specialist 174400000X
General Practice 208D00000X
Medical Oncology 207RX0202X
Radiation Oncology 2085R0001X
Radiation Oncology 2085R0203X

* Indicates primary specialty

NPI Profile & details for CANCER CARE CENTERS OF BREVARD INC

NPI Number 1467551762
Legal business name
LBN
CANCER CARE CENTERS OF BREVARD INC
Authorized official SILAS CHARLES - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/22/2006
Last updated 07/26/2023 - About 3 years ago
Sole proprietor1 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

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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