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CANCER CARE CENTERS OF BREVARD INC
NPI 1023681343
Radiology - Radiation Oncology in Melbourne, FL

Active since July 23, 2021CLIA 10D0276348 · Accreditation
240 N WICKHAM RD STE 101, MELBOURNE, FL 32935(321) 752-4811(321) 752-4822 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Cancer Care Centers Of Brevard Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANCER CARE CENTERS OF BREVARD INC (NPI 1023681343) is a healthcare organization registered as a radiation oncology in Melbourne, Florida and active in the NPI registry since July 2021. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Gail Knight Erentreich, Director Of Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1023681343
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameCANCER CARE CENTERS OF BREVARD INC
Location Address240 N WICKHAM RD STE 101Melbourne, FL 32935-8663
Mailing Address1430 Pine StMelbourne, FL 32901-3119 · (321) 952-0898 · Fax (321) 722-1342
Phone(321) 752-4811
Fax(321) 752-4822
Organization SubpartNo
Authorized OfficialGail Knight ErentreichDirector Of Clinical Operations · (321) 636-2111
Enumeration DateJuly 23, 2021
NPPES CertifiedJuly 23, 2021
✔ NPI 1023681343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
240 N WICKHAM RD STE 101, Melbourne, FL 32935
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D0276348

Cancer Care Centers Of Brevard Inc · Rockledge, FL
Active · expires Dec 22, 2027
CLIA Number10D0276348
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorGiuseppe Palermo
Laboratory Phone(321) 636-2111
Laboratory LocationCancer Care Centers Of Brevard Inc1048 Harvin Way, Rockledge, FL 32955
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cancer Care Centers Of Brevard Inc's NPI number?

The NPI number for Cancer Care Centers Of Brevard Inc is 1023681343. It was assigned to this organization in the NPPES registry on July 23, 2021.

Where is Cancer Care Centers Of Brevard Inc located?

Cancer Care Centers Of Brevard Inc is located at 240 N Wickham Rd Ste 101, Melbourne, FL 32935. The listed phone number is (321) 752-4811.

What is Cancer Care Centers Of Brevard Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Does Cancer Care Centers Of Brevard Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D0276348) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cancer Care Centers Of Brevard Inc was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.