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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

NPI Number 1467551762
LBN Legal business name CANCER CARE CENTERS OF BREVARD INC
Authorized official SILAS CHARLES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2006
Last updated 07/26/2023 - About 3 years ago
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 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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