Brevard Nephrology Group Pa in Merritt Island - Nephrology
Brevard Nephrology Group Pa - NPI 1003029786
Brevard Nephrology Group Pa is a Nephrology in Merritt Island, Florida. Brevard Nephrology Group Pa practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Brevard Nephrology Group Pa is 1003029786. The last update date is 2012-11-14.
Brevard Nephrology Group Pa's current location address is 245 S Courtenay Parkway, Merritt Island, Florida. You can contact this provider via phone number 3214535326 and fax number 3214528507. The mailing address for Brevard Nephrology Group Pa is 245 S Courtenay Parkway, Merritt Island, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brevard Nephrology Group Pa |
|---|---|
| Address | 245 S Courtenay Parkway, Merritt Island, Florida |
| Phone Number | 3214535326 |
| Fax Number | 3214528507 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Wanich K Charles |
| Credentials | MD |
| Telephone Number | 3214535326 |
NPI Number Detail
| NPI Number | 1003029786 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2012-11-14 |
Provider Mailing Address Detail
| Address | 245 S Courtenay Parkway |
|---|---|
| City | Merritt Island |
| State | Florida (FL) |
| Post Code | 32952 |
| Phone Number | 3214535326 |
| Fax Number | 3214528507 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
|
Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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What is the unique 10-digit identifier code assigned to Brevard Nephrology Group Pa by the Centers for Medicare & Medicaid Services?
The Brevard Nephrology Group Pa has been issued the NPI (National Provider Identifier) 1003029786 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Brevard Nephrology Group Pa's facilities are situated?
The facilities of Brevard Nephrology Group Pa are physically located at the following address: 245 S Courtenay Parkway, Merritt Island, FL, 32952.
What is Brevard Nephrology Group Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brevard Nephrology Group Pa is Nephrology, and the taxonomy classification code that categorizes this area of expertise is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003029786 to Brevard Nephrology Group Pa?
The Centers for Medicare & Medicaid Services originally issued the 1003029786 to Brevard Nephrology Group Pa on 2007-05-08.
As of what date were the details pertaining to Brevard Nephrology Group Pa last refreshed?
The information related to the Brevard Nephrology Group Pa, including its address, specialty, and other relevant details, was last updated on 2012-11-14.
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