North Brevard Medical Support, Inc
North Brevard Medical Support, Inc is a Gastroenterology Physician in Port St John, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5005 Port St John Pkwy Ste 2300Port St John, FL 32927-4305
Phone: (321) 633-8660
Fax: (321) 633-8617
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X |
|---|---|
| Neurology Physician | Taxonomy 2084N0400X |
Record details
| NPI number | 1396419032 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kent Bailey — Vp Finance · (321) 268-6111 |
| NPI enumerated | August 5, 2021 |
| Last updated in NPPES | August 5, 2021 |
| Certification date | August 5, 2021 |
| Mailing address | 805 Century Medical Dr Ste C, Titusville, FL 32796-2100 |