Organization Name: | BREVARD FIRST ASSISTANTS, INC. |
NPI Number: | 1013005008 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLI STROBEL (PRESIDENT) |
Mailing Address: | 5190 Cinnamon Fern Blvd Port St John |
State: | FL US |
Postal Code: | 329273403 |
Phone Number: | 3216370553 |
Fax Number: | 3216370552 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP2800X |
License Number: | 2961272 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Perioperative |
Taxonomy Definition: |