BREVARD HEALTH CARE LLC (NPI# 1427271345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427271345 |
| Entity Type | Organization |
| Organization Name | BREVARD HEALTH CARE LLC |
| Practice Address |
240 N Wickham Rd Suite 202 Melbourne FL 32935-8662 |
| Practice Telephone | 3212595999 |
| Practice Fax Number | 3212595553 |
| Mailing Telephone | 3212595999 |
| Mailing Fax Number | 3212595553 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-04-22 |
| Authorized Official Name | MRS. BRANDY J MARCZUK (OFFICE MANAGER) |
| Authorized Official Telephone | 3212595999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME81535 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
240 N WICKHAM RD SUITE 202 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-8662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184624041 | Nowokere Esemuede | Surgery | 240 N Wickham Rd, Suite 204, Melbourne, FL 32935-8662 | 2005-07-21 |
| 1881096865 | Kristen Noel Lai | Physician Assistant | 240 N Wickham Rd, Suite 104, Melbourne, FL 32935-8662 | 2014-09-22 |
| 1033408646 | Rosanto Agpaoa Macam | Internal Medicine | 240 N Wickham Rd, Suite 304, Melbourne, FL 32935-8662 | 2011-04-04 |
| 1265760425 | Cardiology Associates of Brevard LLC | Internal Medicine | 240 N Wickham Rd, Suite 108, Melbourne, FL 32935-8662 | 2009-11-30 |
| 1871724955 | Osler Medical Inc | Radiology | 240 N Wickham Rd, Suite 101, Melbourne, FL 32935-8662 | 2009-08-06 |
| 1497989800 | Daniel Lai | Neuromusculoskeletal Medicine & OMM | 240 N Wickham Rd, Ste 311, Melbourne, FL 32935-8661 | 2009-05-13 |
| 1386847887 | Caritas Womancare Inc | Obstetrics & Gynecology | 240 N Wickham Rd, Ste 104, Melbourne, FL 32935-8662 | 2007-06-11 |
| 1437292711 | Osler Medical Inc | Internal Medicine | 240 N Wickham Rd, Melbourne, FL 32935-8662 | 2007-02-15 |
| 1467410167 | Internal Medicine and Geriatrics Associates, P.a. | Internal Medicine | 240 N Wickham Rd, Suite 110, Melbourne, FL 32935-8662 | 2006-05-02 |
| 1154389849 | Sarunas S. Skirk | Internal Medicine | 240 N Wickham Rd, Suite 110, Melbourne, FL 32935-8662 | 2006-05-02 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142913 | Nikolay Stamboliyski | Internal Medicine | 1387 Dorset Pl, Melbourne, FL 32940-2188 | 2020-04-12 |
| 1215413232 | Madhavi Chary LLC | Internal Medicine | 315 Sandhurst Dr, Melbourne, FL 32940-2159 | 2018-07-12 |
| 1497279590 | G Patel Md Pa | Internal Medicine | 8011 Barrosa Cir, Melbourne, FL 32940-7084 | 2017-07-31 |
| 1376958462 | Brevard Primary Care LLC | Internal Medicine | 1185 Talon Way, Melbourne, FL 32934-3257 | 2014-06-26 |
| 1629413125 | Hilbert Zeballos Pa | Internal Medicine | 903 Balmoral Way, Melbourne, FL 32940-2402 | 2013-05-09 |
| 1558637686 | Gary Joseph Hardoon | Internal Medicine | 6619 N. Wickham Rd, Melbourne, FL 32940 | 2012-03-22 |
| 1407142425 | Michael C. Ianniello, Do | Internal Medicine | 2560 Judge Fran Jamieson Way Unit 1313, Melbourne, FL 32940 | 2011-06-28 |
| 1356669683 | Lynell S. Newmarch | Internal Medicine | 298 Michigan Ave., Suite 101, Melbourne, FL 32901-3104 | 2010-05-11 |
| 1811195894 | Kalpana Gorthi | Internal Medicine | 6450 N Wickham Rd Ste 106, Melbourne, FL 32940 | 2007-07-11 |
| 1467663872 | Hong Sun Jeong | Internal Medicine | 8095 Spyglass Hill Rd Ste 105, Melbourne, FL 32940-8290 | 2007-05-25 |
| Find all providers in MELBOURNE | ||||
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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.