Brevard Primary Care Llc

LBN: Brevard Primary Care Llc
Brevard Primary Care Llc is an health care organization with primary practice located at 2328 Citadel Way Ste 103-319 , Melbourne FL 32940-6459. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is the primary health care specialty. Brevard Primary Care Llc can be contacted via phone (321) 757-1900, or through Puskur, Bhavani M via phone (321) 948-8555.

Contact Information

Primary practice address
2328 Citadel Way Ste 103-319 Melbourne FL 32940-6459
Phone: (321) 757-1900
Fax: (866) 376-2481
Website:
Map and Directions
Authorized official contact:
Name: Puskur, Bhavani M Doctor of Medicine (MD)
Phone: (321) 948-8555

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1376958462
LBN Legal business name Brevard Primary Care Llc
DBA Doing business as
Authorized official Puskur, Bhavani M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2014
Last updated Nov 15th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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