Pediatrics In Brevard, P.A.

LBN: Pediatrics In Brevard, P.A.
Pediatrics In Brevard, P.A. is an health care organization with primary practice located at 8057 Spyglass Hill Rd Ste 102 , Melbourne FL 32940-8565. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatrics In Brevard, P.A. can be contacted via phone (321) 435-9800, or through Loiselle, Melissa via phone (321) 435-9800.

Contact Information

Primary practice address
8057 Spyglass Hill Rd Ste 102 Melbourne FL 32940-8565
Phone: (321) 435-9800
Fax: (321) 435-9803
Website:
Map and Directions
Authorized official contact:
Name: Loiselle, Melissa
Phone: (321) 435-9800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1003807637
LBN Legal business name Pediatrics In Brevard, P.A.
DBA Doing business as
Authorized official Loiselle, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2005
Last updated Oct 4th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003807637 NPPES
Florida MEDICAID 253255703

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