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EDX OF BREVARD, LLC
NPI 1104445048
Chiropractor in Melbourne, FL

Active since April 10, 2020
2955 PINEDA PLAZA WAY STE 104, MELBOURNE, FL 32940(321) 213-8101(844) 228-4426 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edx Of Brevard, Llc NPPES

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

EDX OF BREVARD, LLC (NPI 1104445048) is a healthcare organization registered as a chiropractor in Melbourne, Florida and active in the NPI registry since April 2020. The organization lists Robert Ville, President/owner, as its authorized official.

NPPES Registry Identity

NPI1104445048
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEDX OF BREVARD, LLC
Location Address2955 PINEDA PLAZA WAY STE 104Melbourne, FL 32940-7306
Mailing Address2955 Pineda Plaza Way Ste 104Melbourne, FL 32940-7306 · (321) 213-8101 · Fax (844) 228-4426
Phone(321) 213-8101
Fax(844) 228-4426
Organization SubpartNo
Authorized OfficialRobert VillePresident/owner · (321) 213-8101
Enumeration DateApril 10, 2020
NPPES CertifiedApril 10, 2020
✔ NPI 1104445048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2955 PINEDA PLAZA WAY STE 104, Melbourne, FL 32940
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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

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 Edx Of Brevard, LLC's NPI number?

The NPI number for Edx Of Brevard, LLC is 1104445048. It was assigned to this organization in the NPPES registry on April 10, 2020.

Where is Edx Of Brevard, LLC located?

Edx Of Brevard, LLC is located at 2955 Pineda Plaza Way Ste 104, Melbourne, FL 32940. The listed phone number is (321) 213-8101.

What is Edx Of Brevard, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Edx Of Brevard, LLC was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.