Healther Providers Data Logo


Provider Type Icon

URGENT CARE CENTERS OF BREVARD COUNTY LLC NPI 1417589771


NPI Information

NPI: 1417589771
Provider Name: URGENT CARE CENTERS OF BREVARD COUNTY LLC

Doing Business As: HEALTH FIRST ADVENTHEALTH CENTRA CARE - MALABAR

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D2184202

Address:
730 MALABAR RD NE
STE B
MALABAR, FL
ZIP 32950
Phone: (407) 200-2300
Get Directions

URGENT CARE CENTERS OF BREVARD COUNTY LLC is an urgent care clinic center in Malabar, FL. URGENT CARE CENTERS OF BREVARD COUNTY LLC NPI is 1417589771. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Health First Adventhealth Centra Care - Malabar.

The provider's business location address is:

730 MALABAR RD NE
STE B
MALABAR, FL
ZIP 32950
Phone: (407) 200-2300

The provider's authorized official is Scott C Brady .
The authorized official title is President and has the following contact phone number (407) 200-2300.

The CLIA number assigned to this NPI record is 10D2184202 - other - urgentcare with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2020 and was last updated on 4/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2208000000XPediatricsNo
3363A00000XPhysician AssistantNo
4363LF0000XNurse PractitionerFamilyNo
5261QU0200XClinic/CenterUrgent CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1105815703MEDICAIDFLORIDA
2MQ224OTHERFLORIDAMEDICARE
3EM4ANOTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »