Organization · Type 2 NPI

Brevard Health Alliance

Federally Qualified Health Center (FQHC) · Palm Bay, FL

NPI number 1174674956 Active

Practice location

5270 Babcock St NE # ST1
Palm Bay, FL 32905-8630

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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About NPI 1174674956

Brevard Health Alliance's National Provider Identifier is 1174674956, issued on Jan 16, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Palm Bay, FL. The record was last updated on Aug 22, 2020.