BREVARD FIRST ASSISTANTS, INC.


Address: 5190 Cinnamon Fern Blvd, Port St John, FL 32927-3403
Phone: 3216370553

BREVARD FIRST ASSISTANTS, INC. (NPI# 1013005008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013005008
Entity Type Organization
Organization Name BREVARD FIRST ASSISTANTS, INC.
Practice Address 5190 Cinnamon Fern Blvd
Port St John
FL 32927-3403
Practice Telephone 3216370553
Practice Fax Number 3216370552
Mailing Telephone 3216370553
Mailing Fax Number 3216370552
Enumeration Date 2006-10-11
Last Update Date 2020-08-22
Authorized Official Name MS. KELLI STROBEL (PRESIDENT)
Authorized Official Telephone 3216370553
Authorized Official Credential RN, RNFA, CNOR,
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP2800X Clinical Nurse Specialist
Specialization: Perioperative
2961272 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL FLORIDA NURSING LICENSE 2961272 01

Office Location

Street Address 5190 CINNAMON FERN BLVD
City PORT ST JOHN
State FL
Zip Code 32927-3403

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NPI Name Taxonomy Address Enumeration
1538565023 Susan Guattery Coleman Dietitian, Registered 7075 Us Highway 1, Diabetes Education Suite 300, Port Saint John, FL 32927 2014-11-10
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1427499599 Gary Ray Rudolph Pharmacist 7125 Us 1, Cocoa, FL 32927 2013-07-17
1659716165 Tania Melissa Johnson Social Worker 5355 Date Palm St, Cocoa, FL 32927 2013-05-10
1538473137 Irwin Jaraplasan Dentist 5235 Fay Blvd, Cocoa, FL 32927 2010-08-06
1386856110 Tri M Le Pharmacist 6257 U.S. Hwy 1, Cocoa, FL 32927 2007-05-04
1134218357 Rameshwar N Mathur Md Pa Family Medicine 6250 N Us 1, Cocoa, FL 32927 2006-10-12
1922035088 Albino Y Kuon Psychiatry & Neurology 4360 North Us1, Cocoa, FL 32927 2006-06-26
1801855424 Faye Ellen O'rourke Nurse Practitioner 7227 N. Us Hwy. 1, Port St. John, FL 32927 2006-03-22
1063965275 Tiffany Williams-brown Nurse Practitioner 860 Camp Rd, Cocoa, FL 32927 2016-07-25
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Taxonomy Information

Taxonomy Code 364SP2800X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Perioperative

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184263873 Toni Way Clinical Nurse Specialist 230 Sw 2nd Ave Apt 310, Gainesville, FL 32601-6267 2019-12-30
1134435159 Noemi Gutierrez Clinical Nurse Specialist 4560 Sw 52nd Cir, Unit 104, Ocala, FL 34474-9787 2010-08-27
1437229010 Steven Elton Ross Clinical Nurse Specialist 4225 Wellington Shores Dr, Wellington, FL 33467-8351 2006-11-09
1073953196 Tenika N Roman Clinical Nurse Specialist 27609 Pleasure Ride Loop, Wesley Chapel, FL 33544-1837 2013-07-03
1467427294 Patricia Lynn Creach Clinical Nurse Specialist 12880 Commodity Pl, Care of United Surgical Assistants, Inc., Tampa, FL 33626-3101 2006-02-23
1912972506 Elizabeth Ann Calhoun Clinical Nurse Specialist 410 S 11th St, Lake Wales, FL 33853-4203 2006-02-17
1326019449 Frederick Paul Bogel Clinical Nurse Specialist 1600 Lakeland Hills Blvd, Lakeland, FL 33805 2006-01-27

Competitor

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City PORT ST JOHN
Zip Code 32927

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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