BREVARD SURGERY CENTER (NPI# 1770528838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770528838 |
| Entity Type | Organization |
| Organization Name | BREVARD SURGERY CENTER |
| Practice Address |
665 S Apollo Blvd Melbourne FL 32901-1485 |
| Practice Telephone | 3219843200 |
| Practice Fax Number | 3219842620 |
| Mailing Telephone | 3219843200 |
| Mailing Fax Number | 3219842620 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2016-12-08 |
| Authorized Official Name | MR. RAFAEL TRESPALACIOS (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Telephone | 3219843200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
PH13979 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 64E | 01 |
| FL | MEDICARE ID TYPE UNSPECIFIED | 490002578 | 01 |
| FL | 079180600 | 05 |
| Street Address |
665 S APOLLO BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-1485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477503696 | Rafael Trespalacios | Ophthalmology | 665 S Apollo Blvd, Melbourne, FL 32901-1485 | 2006-05-10 |
| 1861986937 | Leslie Ann Collins | Optometrist | 665 S Apollo Blvd, Melbourne, FL 32901-1485 | 2018-06-21 |
| 1255702841 | Brevard Eye Center Inc | Optometrist | 665 S Apollo Blvd, Melbourne, FL 32901-1485 | 2015-10-08 |
| 1790901700 | Brevard Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 665 S Apollo Blvd, Melbourne, FL 32901-1485 | 2007-04-18 |
| 1417173832 | Staci Renee Walters | Optometrist | 665 S Apollo Blvd, Melbourne, FL 32901-1485 | 2007-04-17 |
| 1558456681 | Brevard Eye Center, Inc | Durable Medical Equipment & Medical Supplies | 665 S Apollo Blvd, Melbourne, FL 32901-1485 | 2006-10-04 |
| 1437163664 | Christopher Jude Calvano | Ophthalmology | 665 S Apollo Blvd, Melbourne, FL 32901-1485 | 2006-07-27 |
| 1518908607 | Jeanna Shea Eagerton | Optometrist | 665 S Apollo Blvd, Melbourne, FL 32901-1485 | 2006-06-09 |
| 1346288784 | Paul James Befanis | Ophthalmology | 665 S Apollo Blvd, Melbourne, FL 32901-1485 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527680 | Intracoastal Surgery Center, LLC | Clinic/Center | 2200 W Eau Gallie Blvd Ste 100, Melbourne, FL 32935-3166 | 2018-08-08 |
| 1669803391 | Surgery Center of Viera LLC | Clinic/Center | 7955 Spyglass Hill Rd Ste B, Melbourne, FL 32940-8249 | 2013-12-05 |
| 1558694034 | Brevard Specialty Surgery Center LLC | Clinic/Center | 95 Bulldog Boulevard, Suite 104, Melbourne, FL 32901-3175 | 2009-09-15 |
| 1306087135 | Crane Creek Surgical Partners, LLC | Clinic/Center | 2222 South Harbor City Blvd, Suite 540, Melbourne, FL 32901 | 2009-03-06 |
| 1164473922 | Ophthalmology Center of Brevard Lp | Clinic/Center | 719 E New Haven Ave, Melbourne, FL 32901-5459 | 2006-05-15 |
| 1558323956 | Melbourne Surgery Center Lp | Clinic/Center | 1340 Medical Park Dr, Suite 101, Melbourne, FL 32901-3246 | 2006-04-03 |
| 1174594584 | Sheridan Surgery Center | Clinic/Center | 95 Bulldog Blvd, Ste104, Melbourne, FL 32901-3332 | 2006-02-01 |
| 1255311635 | Melbourne Asc Lp | Clinic/Center | 1401 S Apollo Blvd, Suite B, Melbourne, FL 32901-3179 | 2006-01-20 |
| 1063495257 | Doctors Surgical Partnership Ltd | Clinic/Center | 1035 S Apollo Blvd, Melbourne, FL 32901-1969 | 2005-11-22 |
| 1013309459 | Melbourne Surgery Center, LLC | Clinic/Center | 95 Bulldog Blvd, Suite 104, Melbourne, FL 32901-3332 | 2015-02-23 |
| 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.