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CANCER CARE CENTERS OF BREVARD INC
NPI 1114590429
Internal Medicine - Hematology & Oncology in Palm Bay, FL

Active since July 23, 2021CLIA 10D2044227 · Accreditation
20 SAN FILIPPO DR SE, PALM BAY, FL 32909(321) 725-8300(321) 725-1555 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 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 1114590429) is a healthcare organization registered as a hematology & oncology in Palm Bay, Florida and active in the NPI registry since July 2021. The organization holds an CLIA Accreditation certificate valid through January 22, 2027 and lists Gail Knight Erentreich, Director Of Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1114590429
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCANCER CARE CENTERS OF BREVARD INC
Location Address20 SAN FILIPPO DR SEPalm Bay, FL 32909-2200
Mailing Address1430 Pine StMelbourne, FL 32901-3119 · (321) 674-5050
Phone(321) 725-8300
Fax(321) 725-1555
Organization SubpartNo
Authorized OfficialGail Knight ErentreichDirector Of Clinical Operations · (321) 636-2111
Enumeration DateJuly 23, 2021
NPPES CertifiedJuly 23, 2021
✔ NPI 1114590429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
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.
20 SAN FILIPPO DR SE, Palm Bay, FL 32909
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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 10D2044227

Cancer Care Centers Of Brevard · Palm Bay, FL
Active · expires Jan 22, 2027
CLIA Number10D2044227
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorVenkat P. Reddy Kancharla
Laboratory Phone(321) 725-8300
Laboratory LocationCancer Care Centers Of Brevard20 San Filippo Dr SE, Palm Bay, FL 32909
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN PAZ P.A.
Physician Assistant
20 SAN FILIPPO DR SE
PALM BAY, FL 32909
Brevard County (321) 725-8300
VENKAT PAVAN REDDY KANCHARLA M.D
Internal Medicine (Medical Oncology)
20 SAN FILIPPO DR SE
PALM BAY, FL 32909
Brevard County (321) 725-8300
TRICIA K' SOLITO DNP, ARNP
Nurse Practitioner (Family)
20 SAN FILIPPO DR SE
PALM BAY, FL 32909
Brevard County (321) 725-8300
KATIE L WILKERSON ARNP
Nurse Practitioner
20 SAN FILIPPO DR SE
PALM BAY, FL 32909
Brevard County (321) 725-8300
GREGORY B HOANG MD
Internal Medicine (Medical Oncology)
20 SAN FILIPPO DR SE
PALM BAY, FL 32909
Brevard County (321) 725-8300

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 1114590429. 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 20 San Filippo Dr SE, Palm Bay, FL 32909. The listed phone number is (321) 725-8300.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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

Yes. A Certificate of Accreditation (number 10D2044227) is associated with this NPI, valid through January 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.