MEDICAL ASSOCIATES OF BREVARD LLC (NPI# 1245248954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245248954 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES OF BREVARD LLC |
| Other Organization Name | MEDICAL ASSOCIATES OF BREVARD, P.A. |
| Practice Address |
1071 Port Malabar Blvd Ne Suite 111 Palm Bay FL 32905-5161 |
| Practice Telephone | 3217259800 |
| Practice Fax Number | 3217259978 |
| Mailing Telephone | 3217259800 |
| Mailing Fax Number | 3217259978 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-09-26 |
| Authorized Official Name | GERARD L. BESSETTE (ADMINISTRATOR) |
| Authorized Official Telephone | 3217289657 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL ASSOCIATES OF BREVARD LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical Associates of Brevard, P.A. | Former Legal Business Name - Organization |
| 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 |
| Street Address |
1071 PORT MALABAR BLVD NE SUITE 111 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905-5161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376539155 | Mederi of Orange County, Inc. | Home Health | 1071 Port Malabar Blvd Ne, Suite 205, Palm Bay, FL 32905-5161 | 2005-09-27 |
| 1184187908 | Sharon Liz Reed | Psychologist | 1071 Port Malabar Blvd Ne, Palm Bay, FL 32905-5161 | 2019-04-09 |
| 1437625225 | Sivan Emery | Social Worker | 1071 Port Malabar Blvd Ne, Palm Bay, FL 32905-5161 | 2018-10-18 |
| 1346729423 | Delvin L Session | Case Management | 1071 Port Malabar Blvd Ne, Palm Bay, FL 32905-5161 | 2018-08-09 |
| 1790212272 | Angela Marie Narcisse | Case Manager/Care Coordinator | 1071 Port Malabar Blvd Ne, Palm Bay, FL 32905-5161 | 2017-05-16 |
| 1134673825 | Haruna Nail | Point of Service | 1071 Port Malabar Blvd Ne, 106, Palm Bay, FL 32905-5161 | 2016-08-10 |
| 1750835021 | Pamela Anne Loftus | Counselor | 1071 Port Malabar Blvd Ne, Suite 106, Palm Bay, FL 32905-5161 | 2016-08-04 |
| 1013360593 | Vilmarie Roman | Social Worker | 1071 Port Malabar Blvd Ne, N.e. Suite 106, Palm Bay, FL 32905-5161 | 2016-07-19 |
| 1831557974 | Margarita Apolinaris | Social Worker | 1071 Port Malabar Blvd Ne, Palm Bay, FL 32905-5161 | 2016-02-03 |
| 1972925394 | Christopher Bickford | Acupuncturist | 1071 Port Malabar Blvd Ne, Palm Bay, FL 32905-5161 | 2014-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| Find all providers in zip 32905 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323461 | Florida Health Care of Brevard | Clinic/Center | 1840 Eldron Blvd Se Ste 2, Palm Bay, FL 32909-6871 | 2019-06-04 |
| 1770821688 | Medical Associates of Brevard LLC | Clinic/Center | 6080 S. Babcock St. Se, Palm Bay, FL 32909-3921 | 2013-01-28 |
| 1932330743 | Medical Associates of Brevard LLC | Clinic/Center | 2186 Harris Ave Ne, Suite 2, Palm Bay, FL 32905-4044 | 2009-07-29 |
| 1285799791 | Medical Associates of Brevard LLC | Clinic/Center | 1051 Port Malabar Blvd Ne, # 9, Palm Bay, FL 32905-5153 | 2006-12-26 |
| 1013071489 | Medical Associates of Brevard LLC | Clinic/Center | 5055 Babcock St Ne, # 2, Palm Bay, FL 32905-4673 | 2006-12-20 |
| 1174531321 | Medical Associates of Brevard LLC | Clinic/Center | 910 Malabar Rd Se, Suite 2, Palm Bay, FL 32907-3200 | 2006-08-04 |
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| 1932718509 | Coral Diagnostic Center Inc | Clinic/Center | 12002 Sw 128th Ct Ste 202, Miami, FL 33186-4643 | 2020-07-29 |
| 1902422215 | Andreu Health Care Therapy Corp | Clinic/Center | 175 Fontainebleau Blvd Ste 2g7, Miami, FL 33172-7012 | 2020-06-23 |
| 1306461447 | Elevate Medical Fort Myers, LLC | Clinic/Center | 1850 Boy Scout Dr Ste A102, Fort Myers, FL 33907-2127 | 2020-06-15 |
| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
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| 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.