MEDICAL ASSOCIATES OF BREVARD LLC (NPI# 1861400103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861400103 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES OF BREVARD LLC |
| Other Organization Name | MEDICAL ASSOCIATES OF BREVARD, P.A. |
| Practice Address |
2200 W Eau Gallie Blvd Suite 200 Melbourne FL 32935 |
| Mailing Address |
Po Box 361095 Melbourne FL 32936-1095 |
| Practice Telephone | 3212532900 |
| Practice Fax Number | 3214350100 |
| Mailing Telephone | 3212532900 |
| Mailing Fax Number | 3214350100 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | GERARD L. BESSETTE (ADMINISTRATOR) |
| Authorized Official Telephone | 3212532900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 250155400 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Associates of Brevard, P.A. | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1051 Port Malabar Blvd Ne Ste 4, Palm Bay, FL 329055153 | 3217253438 | |
| 1071 Port Malabar Blvd Ne Ste 111, Palm Bay, FL 329055161 | 3217259800 | |
| 1301 W Eau Gallie Blvd Ste 108, Melbourne, FL 329355390 | 3216228730 | |
| 13050 Us Highway 1, Sebastian, FL 329583733 | 3217282722 | |
| 1315 Valentine St, Melbourne, FL 329013127 | 3217687677 | |
| 1380 S Patrick Dr, Satellite Beach, FL 329374375 | 3217732659 | |
| 1395 N Courtenay Pkwy Ste 203, Merritt Island, FL 329534475 | 3217512707 | |
| 1400 Pine St, Melbourne, FL 329013170 | 3216766000 | |
| 1535 W Nasa Blvd, Building C #103, Melbourne, FL 329012635 | 3218370010 | |
| 1535 W. Nasa Blvd. Bldg C, Suite 103, Melbourne, FL 32901 | 3218370010 | |
| 200 Michigan Ave, Melbourne, FL 329013100 | 3219520700 | |
| 2010 W Eau Gallie Blvd Unit 106, Melbourne, FL 329354033 | 3212546338 | |
| 21 Suntree Pl Ste 101, Melbourne, FL 329407600 | 3212416535 | |
| 2107 Dairy Rd, Melbourne, FL 329045241 | 3216767860 | |
| 2186 Harris Ave Ne Ste 2, Melbourne, FL 329054044 | 3217258111 | |
| 2186 Harris Ave Ne Ste 2, Palm Bay, FL 329054044 | 3217258111 | |
| 2194 Highway A1a Ste 201, Indian Harbour Beach, FL 329374931 | 3217776869 | |
| 2200 W Eau Gallie Blvd Ste 202b, Melbourne, FL 329353166 | 3212547717 | |
| 2290 W Eau Gallie Blvd Ste 100, Melbourne, FL 329353134 | 3213099000 | |
| 2290 W Eau Gallie Blvd Ste 108, Melbourne, FL 329353134 | 3217523888 | |
| 2290 W Eau Gallie Blvd Ste 110, Melbourne, FL 329353134 | 3214217555 | |
| 2290 W Eau Gallie Blvd Ste 205, Melbourne, FL 329353145 | 3217575550 | |
| 3021 W Eau Gallie Blvd Ste 101, Melbourne, FL 329347005 | 3212550959 | |
| 304 S Harbor City Blvd Ste 101, Melbourne, FL 329011382 | 3219140815 | |
| 3040 N Wickham Rd Ste 10, Melbourne, FL 329352369 | 3214284840 | |
| 3044 W New Haven Ave, West Melbourne, FL 329043566 | 3214738613 | |
| 3140 Suntree Blvd Ste 5, Rockledge, FL 329555789 | 3219854200 | |
| 397 N Wickham Rd Ste 101, Melbourne, FL 329358669 | 3216226222 | |
| 401 N Wickham Rd Ste H, Melbourne, FL 329358659 | 3217575105 | |
| 402 N Babcock St Ste 102, Melbourne, FL 329357335 | 3212416540 | |
| 450 Malabar Rd Se, Palm Bay, FL 329073111 | 3214353655 | |
| 5055 Babcock St Ne Ste 2, Palm Bay, FL 329054673 | 3217241200 | |
| 5200 Babcock St Ne Ste 103, Melbourne, FL 329054639 | 3213124796 | |
| 5200 Babcock St Ne Ste 103, Palm Bay, FL 329054639 | 3213124796 | |
| 575 S Wickham Rd Ste A, West Melbourne, FL 329041170 | 3213085060 | |
| 580 N Wickham Rd Ste A, Melbourne, FL 329358400 | 3212557118 | |
| 580 N Wickham Rd Ste C, Melbourne, FL 329358400 | 3212557118 | |
| 6080 Babcock St Se, Palm Bay, FL 329093921 | 3214093073 | |
| 655 S Apollo Blvd, Melbourne, FL 329011485 | 3217512707 | |
| 6550 N Wickham Rd Ste 2, Melbourne, FL 329402038 | 3212551947 | |
| 7000 Spyglass Ct Ste 350, Melbourne, FL 329408287 | 3212532900 | |
| 7000 Spyglass Ct Ste 350, Melbourne, FL 329408287 | 3214253470 | |
| 7730 N Wickham Rd Ste 103, Melbourne, FL 329408296 | 3212533595 | |
| 8041 Spyglass Hill Rd Ste 102, Melbourne, FL 329408559 | 3212554003 | |
| 8045 Spyglass Hill Rd Ste 101, Melbourne, FL 329408567 | 3212552289 | |
| 8045 Spyglass Hill Rd Ste 102, Melbourne, FL 329408567 | 3212416535 | |
| 8045 Spyglass Hill Rd Ste 104, Melbourne, FL 329408567 | 3212552289 | |
| 8045 Spyglass Hill Rd Ste 104, Melbourne, FL 329408567 | 3212554003 | |
| 8057 Spyglass Hill Rd Ste 104, Melbourne, FL 329408565 | 3212414877 | |
| 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 329408290 | 3212416400 | |
| 910 Malabar Rd Se, Palm Bay, FL 329073200 | 3217682356 |
| 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 |
2200 W EAU GALLIE BLVD SUITE 200 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012820 | Victor Manuel Alvarez | Obstetrics & Gynecology | 2200 W Eau Gallie Blvd, Ste 202-a, Melbourne, FL 32935-3165 | 2005-06-09 |
| 1083990402 | Cristina Cantees | Nurse Practitioner | 2200 W Eau Gallie Blvd, Suite 202-a, Melbourne, FL 32935-3165 | 2011-10-31 |
| 1205078342 | Medical Associates of Brevard LLC | Clinic/Center | 2200 W Eau Gallie Blvd, Suite 202c, Melbourne, FL 32935-3165 | 2009-04-06 |
| 1720109598 | Rakesh Natverlal Patel | Internal Medicine | 2200 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32935-3165 | 2007-04-02 |
| 1518026137 | Jagdeep Chhindra | Internal Medicine | 2200 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32935-3165 | 2006-12-08 |
| 1982791984 | Binod Kumar Singh | Internal Medicine | 2200 W Eau Gallie Blvd, Suite # 202-a, Melbourne, FL 32935-3165 | 2006-10-10 |
| 1720098882 | Medical Associates of Brevard LLC | Clinic/Center | 2200 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32935-3165 | 2006-08-09 |
| 1518977131 | Medical Associates of Brevard LLC | Clinic/Center | 2200 W Eau Gallie Blvd, Suite 202b, Melbourne, FL 32935-3165 | 2006-08-08 |
| 1275594897 | Anthony H Tran | Internal Medicine | 2200 W Eau Gallie Blvd, Suite 202c, Melbourne, FL 32935-3166 | 2006-03-31 |
| 1134194608 | Larry Jackson Landry | Urology | 2200 W Eau Gallie Blvd, Suite 202a, Melbourne, FL 32935-3166 | 2006-02-20 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696766 | Advanced Healthcare Integration, LLC | Clinic/Center | 445 Pineda Ct Ste 200, Melbourne, FL 32940-7555 | 2020-10-13 |
| 1942792429 | Ethos Health Melbourne, LLC | Clinic/Center | 2755 N Wickham Rd Ste 102, Melbourne, FL 32935-2226 | 2018-05-31 |
| 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 |
| 1649896804 | Tricoche Integrated Health Inc | Clinic/Center | 1855 W Hibiscus Blvd, Melbourne, FL 32901-2622 | 2020-06-23 |
| 1487270831 | Space Health LLC | Clinic/Center | 3800 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-3285 | 2020-06-22 |
| 1659841914 | Biocellular Therapies Inc | Clinic/Center | 2290 W Eau Gallie Blvd Ste 210b, Melbourne, FL 32935-3145 | 2018-11-29 |
| 1992128508 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3133 | 2014-02-03 |
| 1639592561 | Medical Associates of Brevard LLC | Clinic/Center | 575 S Wickham Rd, Suite A, Melbourne, FL 32904-1170 | 2014-01-29 |
| 1619104114 | Medical Associates of Brevard LLC | Clinic/Center | 2290 W Eau Gallie Blvd, Suite 202, Melbourne, FL 32935-3145 | 2009-06-11 |
| 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.