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CHILDREN'S HEALTHCARE OF BREVARD
NPI 1346075942
Pediatrics in Melbourne, FL

Active since September 04, 2024CLIA 10D2060093 · Waiver
2351 W EAU GALLIE BLVD STE 4, MELBOURNE, FL 32935(321) 775-0477(321) 775-0476 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Children's Healthcare Of Brevard NPPES

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

CHILDREN'S HEALTHCARE OF BREVARD (NPI 1346075942) is a healthcare organization registered as a pediatrics in Melbourne, Florida and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Margaret Witzleb, Nurse-practitioner Owner, as its authorized official.

NPPES Registry Identity

NPI1346075942
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDREN'S HEALTHCARE OF BREVARD
Location Address2351 W EAU GALLIE BLVD STE 4Melbourne, FL 32935-3114
Mailing Address2351 W Eau Gallie Blvd Ste 4Melbourne, FL 32935-3114 · (321) 775-0477 · Fax (321) 775-0476
Phone(321) 775-0477
Fax(321) 775-0476
Organization SubpartNo
Authorized OfficialMargaret WitzlebNurse-practitioner Owner · (321) 775-0477
Enumeration DateSeptember 4, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1346075942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2351 W EAU GALLIE BLVD STE 4, 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 Waiver 10D2060093

Childrens Healthcare Of Brevard LLC · Melbourne, FL
Active · expires Jun 5, 2027
CLIA Number10D2060093
Laboratory TypeNp Pediatric Primary Care
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorMargaret L. Witzleb
Laboratory Phone(321) 775-0477
Laboratory LocationChildrens Healthcare Of Brevard LLC2351 W Eau Gallie Blvd Ste 5, Melbourne, FL 32935
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is CHILDREN'S HEALTHCARE OF BREVARD's NPI number?

The NPI number assigned to this healthcare provider is 1346075942, enumerated as an "organization" on September 04, 2024.

Where is the provider located?

The provider is located at 2351 W EAU GALLIE BLVD STE 4 MELBOURNE, FL 32935 and the phone number is (321) 775-0477.

What is the provider's specialty?

Pediatrics with taxonomy code 208000000X.