| 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 |
| Remove 1295832343 NPI Number | |
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.
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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.
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