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

The Brevard Health Alliance Inc

Organization General Practice Physician · NPI 1104121300

The Brevard Health Alliance Inc is a General Practice Physician in Cocoa, Florida. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

705 Blake Ave Bldg G
Cocoa, FL 32922-7100
Phone: (321) 633-6391
Fax: (321) 633-6441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1104121300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Craig — Business Office Manager · (321) 952-9696
Other names Brevard Health Alliance
NPI enumeratedJanuary 19, 2011
Last updated in NPPESNovember 11, 2022
Certification dateNovember 11, 2022
Mailing address705 Blake Ave, Bldg G, Cocoa, FL 32922-7100

Other providers in Cocoa