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BREVARD VASCULAR ASSOCIATES LLC
NPI 1184806630
Surgery - Vascular Surgery in Rockledge, FL

Active since November 27, 2007
1004 BEVERLY DR, SUITE D, ROCKLEDGE, FL 32955(321) 637-4710(321) 637-4715 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brevard Vascular Associates Llc NPPES

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

BREVARD VASCULAR ASSOCIATES LLC (NPI 1184806630) is a healthcare organization registered as a vascular surgery in Rockledge, Florida and active in the NPI registry since November 2007. The organization lists Sandi Laroche, Mso Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1184806630
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameBREVARD VASCULAR ASSOCIATES LLC
Location Address1004 BEVERLY DR, SUITE DRockledge, FL 32955-2851
Mailing Address150 N Sykes Creek Pkwy, Suite 300Merritt Island, FL 32953-3488 · (321) 449-4168 · Fax (321) 449-4164
Phone(321) 637-4710
Fax(321) 637-4715
Organization SubpartNo
Authorized OfficialSandi LarocheMso Credentialing Coordinator · (321) 449-4168
Enumeration DateNovember 27, 2007
Last NPPES UpdateAugust 4, 2010
✔ NPI 1184806630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in FL · ME91509
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1004 BEVERLY DR, Rockledge, FL 32955
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Other Identifiers 1

Medicare UPINH24893FL

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

Other Providers at the Same Location NPPES 3

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

SURGICAL ASSOCIATES OF BREVARD LLC
Surgery
1004 BEVERLY DR, SUITE A
ROCKLEDGE, FL 32955
Brevard County (321) 637-2150
ROCKLEDGE HMA MEDICAL GROUP, LLC
Internal Medicine (Gastroenterology)
1004 BEVERLY DR, SUITE B
ROCKLEDGE, FL 32955
Brevard County (321) 637-7655
GI ASSOCIATES OF BREVARD
Internal Medicine (Gastroenterology)
1004 BEVERLY DR, SUITE B
ROCKLEDGE, FL 32955
Brevard County (321) 637-7655

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 Brevard Vascular Associates LLC's NPI number?

The NPI number for Brevard Vascular Associates LLC is 1184806630. It was assigned to this organization in the NPPES registry on November 27, 2007.

Where is Brevard Vascular Associates LLC located?

Brevard Vascular Associates LLC is located at 1004 Beverly Dr Suite D, Rockledge, FL 32955. The listed phone number is (321) 637-4710.

What is Brevard Vascular Associates LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Brevard Vascular Associates LLC was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.