Ob/gyn Specialists Of Brevard, Llc

NPI 1295832343 - Specialist - 174400000X

NPI Details
NPI 1295832343
Enumeration Date 09/20/2006
Last Updated 10/12/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name EDWIN BRUCE EDWIN
Position MEDICAL DOCTOR/OWNER
Phone (321) 733-2201
Fax (321) 733-2202
Practice Location
1555 W NASA BLVD
MELBOURNE FL, 32901-2640, US
Phone (321) 733-2201
Fax (321) 733-2202
Business Location
1555 W NASA BLVD
MELBOURNE FL, 32901-2640, US
Phone (321) 733-2201
Fax (321) 733-2202
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number ME69211
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According to our database, Ob/gyn Specialists Of Brevard, Llc NPI is 1295832343, taxonomy code is 174400000X and license number is ME69211, license state is located at Florida. Ob/gyn Specialists Of Brevard, Llc physically located at 1555 W Nasa Blvd, Melbourne FL, 32901-2640. NPI Number 1033115704 has the healthcare provider type.

1295832343 NPI number is provided on an as is basis without warranty of any kind. 1295832343 is maintained by the National Plan & Provider Enumeration System. The contents of Ob/gyn Specialists Of Brevard, Llc are for informational purposes only.