Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brevard Medical Dermatology, PA

Organization Dermatology Physician · NPI 1649676669

Brevard Medical Dermatology, PA is a Dermatology Physician in Melbourne, Florida. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7960 N Wickham Rd Ste 103
Melbourne, FL 32940-8096
Phone: (321) 428-4737
Fax: (321) 241-6457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1649676669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Spicer — President · (321) 428-4737
NPI enumeratedNovember 18, 2014
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020
Mailing address7960 N. Wickham Road, Suite 103, Melbourne, FL 32940-8096

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