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BREVARD HEALTH ALLIANCE INC
NPI 1396511374
General Practice in Cocoa, FL

Active since November 30, 2023
114 1ST ST OFC 137, COCOA, FL 32922(321) 241-6800(321) 241-6890 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brevard Health Alliance Inc NPPES

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

BREVARD HEALTH ALLIANCE INC (NPI 1396511374), doing business as Family Promise Firehouse Clinic, is a healthcare organization registered as a general practice in Cocoa, Florida and active in the NPI registry since November 2023. The organization lists Angela Craig, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1396511374
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBREVARD HEALTH ALLIANCE INC
Location Address114 1ST ST OFC 137Cocoa, FL 32922-7767
Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 952-9696 · Fax (321) 952-7937
Phone(321) 241-6800
Fax(321) 241-6890
Organization SubpartNo
Authorized OfficialAngela CraigDirector Of Billing · (321) 241-6834
Enumeration DateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1396511374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
114 1ST ST OFC 137, Cocoa, FL 32922
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Other Names 1

Doing Business AsFamily Promise Firehouse Clinic

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

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

BREVARD HEALTH ALLIANCE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
114 1ST ST OFC 137
COCOA, FL 32922
Brevard County (321) 241-6800

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 Health Alliance Inc's NPI number?

The NPI number for Brevard Health Alliance Inc is 1396511374. It was assigned to this organization in the NPPES registry on November 30, 2023. The provider is doing business as Family Promise Firehouse Clinic.

Where is Brevard Health Alliance Inc located?

Brevard Health Alliance Inc is located at 114 1st St Ofc 137, Cocoa, FL 32922. The listed phone number is (321) 241-6800.

What is Brevard Health Alliance Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Brevard Health Alliance Inc was last updated on November 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.