CANCER CARE CENTERS OF BREVARD INC
NPI 1114590429
Internal Medicine - Hematology & Oncology in Palm Bay, FL
- Organization
- Internal Medicine
- Hematology & Oncology
- CLIA Number: 10D2044227
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-22-2027
About CANCER CARE CENTERS OF BREVARD INC
This page provides the complete NPI Profile along with additional information for Cancer Care Centers Of Brevard Inc, an internist established in Palm Bay, Florida operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1114590429 assigned on July 2021. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Gail Knight Erentreich (Director Of Clinical Operations)
- NPI
- 1114590429 Verify this NPI
- Provider Name
- CANCER CARE CENTERS OF BREVARD INC
- Entity Type
- Organization
- Location Address
- 20 SAN FILIPPO DR SE PALM BAY, FL 32909
- Location Phone
- (321) 725-8300
- Location Fax
- (321) 725-1555
- Mailing Address
- 1430 PINE ST MELBOURNE, FL 32901
- Mailing Phone
- (321) 674-5050
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-23-2021
- Last Update Date
- 07-23-2021
- Code Navigator
An internist like Cancer Care Centers Of Brevard Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2044227
- Facility Type
- Physician Office
- Certificate Effective Date
- January 23, 2025
- Certificate Expiration Date
- January 22, 2027
- Laboratory Director
- VENKAT P. REDDY KANCHARLA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Cancer Care Centers Of Brevard Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
PALM BAY, FL 32909
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114590429, enumerated as an "organization" on July 23, 2021.
The provider is located at 20 SAN FILIPPO DR SE PALM BAY, FL 32909 and the phone number is (321) 725-8300.
Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.
