MEDICAL ASSOCIATES OF BREVARD LLC


Address: 2200 W Eau Gallie Blvd, Suite 202c, Melbourne, FL 32935-3165
Phone: 3217282722

MEDICAL ASSOCIATES OF BREVARD LLC (NPI# 1205078342) 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) 1205078342
Entity Type Organization
Organization Name MEDICAL ASSOCIATES OF BREVARD LLC
Practice Address 2200 W Eau Gallie Blvd
Suite 202c
Melbourne
FL 32935-3165
Practice Telephone 3217282722
Practice Fax Number 3214353652
Mailing Telephone 3217282722
Mailing Fax Number 3214353652
Enumeration Date 2009-04-06
Last Update Date 2009-04-06
Authorized Official Name MR. GERARD L. BESSETTE (ADMINISTRATOR)
Authorized Official Telephone 3212532900
Is Organization Subpart Y
Parent Organization Name MEDICAL ASSOCIATES OF BREVARD LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770821688 Medical Associates of Brevard LLC Clinic/Center 6080 S. Babcock St. Se, Palm Bay, FL 32909-3921 2013-01-28
1639189251 Medical Associates of Brevard LLC Clinic/Center 901 Jordan Blass Dr, Suite 103, Melbourne, FL 32940-1824 2006-08-08
1679582605 Medical Associates of Brevard LLC Clinic/Center 580 N Wickham Rd, Suite A, Melbourne, FL 32935-8400 2006-08-07
1992128508 Medical Associates of Brevard LLC Clinic/Center 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3133 2014-02-03
1538582366 Medical Associates of Brevard LLC Clinic/Center 575 S Wickham Rd, Suite A, West Melbourne, FL 32904-1170 2014-01-30
1639592561 Medical Associates of Brevard LLC Clinic/Center 575 S Wickham Rd, Suite A, Melbourne, FL 32904-1170 2014-01-29
1942570098 Medical Associates of Brevard LLC Internal Medicine 8045 Spyglass Hill Road, Suite 102, Melbourne, FL 32940-8567 2012-01-06
1053689810 Medical Associates of Brevard LLC Internal Medicine 1301 W Eau Gallie Blvd Ste 108, Melbourne, FL 32935-5390 2011-12-08
1538476726 Medical Associates of Brevard LLC Obstetrics & Gynecology 304 S Harbor City Blvd, Suite 101, Melbourne, FL 32901-1382 2010-09-09
1689987596 Medical Associates of Brevard LLC Internal Medicine 397 N Wickham Rd, Suite 101, Melbourne, FL 32935-8669 2010-07-20

Office Location

Street Address 2200 W EAU GALLIE BLVD
SUITE 202C
City MELBOURNE
State FL
Zip Code 32935-3165

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023012820 Victor Manuel Alvarez Obstetrics & Gynecology 2200 W Eau Gallie Blvd, Ste 202-a, Melbourne, FL 32935-3165 2005-06-09
1083990402 Cristina Cantees Nurse Practitioner 2200 W Eau Gallie Blvd, Suite 202-a, Melbourne, FL 32935-3165 2011-10-31
1720109598 Rakesh Natverlal Patel Internal Medicine 2200 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32935-3165 2007-04-02
1518026137 Jagdeep Chhindra Internal Medicine 2200 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32935-3165 2006-12-08
1982791984 Binod Kumar Singh Internal Medicine 2200 W Eau Gallie Blvd, Suite # 202-a, Melbourne, FL 32935-3165 2006-10-10
1720098882 Medical Associates of Brevard LLC Clinic/Center 2200 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32935-3165 2006-08-09
1518977131 Medical Associates of Brevard LLC Clinic/Center 2200 W Eau Gallie Blvd, Suite 202b, Melbourne, FL 32935-3165 2006-08-08
1861400103 Medical Associates of Brevard LLC Clinic/Center 2200 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32935 2006-08-03
1275594897 Anthony H Tran Internal Medicine 2200 W Eau Gallie Blvd, Suite 202c, Melbourne, FL 32935-3166 2006-03-31
1134194608 Larry Jackson Landry Urology 2200 W Eau Gallie Blvd, Suite 202a, Melbourne, FL 32935-3166 2006-02-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407412018 Aleecia Estime Nurse Practitioner 401 N Wickham Rd Ste S, Melbourne, FL 32935 2019-05-20
1669948261 Lisa Marie Sarkees Social Worker 1503 Spring Drive, Melbourne, FL 32935 2018-10-22
1407355399 Eugene Slaughter Case Manager/Care Coordinator 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 2018-02-06
1588173173 Gregory M Mcdermand Respiratory Therapist, Certified 2745 Revolution St, Unit 101, Melbourne, FL 32935 2017-09-26
1386173649 M Shami Nurse Practitioner 401 N Wickham Rd. Suite S, Melbourne, FL 32935 2017-06-08
1588102297 Chiro Choice A Limited Liability Company Clinic/Center 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 2017-02-02
1124574835 A Loving Touch Private Home Care Home Health 1595 Palmwood Drive, Melbourne, FL 32935 2016-09-01
1538616099 Pedro Triana Villamil Specialist/Technologist, Other 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 2016-09-01
1528424132 Lisa Forsythe Acupuncturist 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 2016-01-12
1528432028 Harbor City Pharmacy Inc Pharmacy 503 Harbor City Blvd., Melbourne, FL 32935 2015-11-20
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821696766 Advanced Healthcare Integration, LLC Clinic/Center 445 Pineda Ct Ste 200, Melbourne, FL 32940-7555 2020-10-13
1942792429 Ethos Health Melbourne, LLC Clinic/Center 2755 N Wickham Rd Ste 102, Melbourne, FL 32935-2226 2018-05-31
1639189251 Medical Associates of Brevard LLC Clinic/Center 901 Jordan Blass Dr, Suite 103, Melbourne, FL 32940-1824 2006-08-08
1679582605 Medical Associates of Brevard LLC Clinic/Center 580 N Wickham Rd, Suite A, Melbourne, FL 32935-8400 2006-08-07
1649896804 Tricoche Integrated Health Inc Clinic/Center 1855 W Hibiscus Blvd, Melbourne, FL 32901-2622 2020-06-23
1487270831 Space Health LLC Clinic/Center 3800 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-3285 2020-06-22
1659841914 Biocellular Therapies Inc Clinic/Center 2290 W Eau Gallie Blvd Ste 210b, Melbourne, FL 32935-3145 2018-11-29
1992128508 Medical Associates of Brevard LLC Clinic/Center 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3133 2014-02-03
1639592561 Medical Associates of Brevard LLC Clinic/Center 575 S Wickham Rd, Suite A, Melbourne, FL 32904-1170 2014-01-29
1619104114 Medical Associates of Brevard LLC Clinic/Center 2290 W Eau Gallie Blvd, Suite 202, Melbourne, FL 32935-3145 2009-06-11
Find all providers in MELBOURNE

Competitor

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City MELBOURNE
Zip Code 32935

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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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