1. Home
  2. Directory
  3. Florida
  4. Melbourne
  5. Clinic Center
  6. NPI Profile

BREVARD SPECIALTY SURGERY CENTER LLC
NPI 1558694034
Clinic/Center - Ambulatory Surgical in Melbourne, FL

Active since September 15, 2009
95 BULLDOG BOULEVARD, SUITE 104, MELBOURNE, FL 32901(321) 952-9800(321) 952-7889 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brevard Specialty Surgery Center Llc NPPES

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

BREVARD SPECIALTY SURGERY CENTER LLC (NPI 1558694034) is a healthcare organization registered as an ambulatory surgical in Melbourne, Florida and active in the NPI registry since September 2009. The organization lists Stephen Fitzgerald, President, as its authorized official.

NPPES Registry Identity

NPI1558694034
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBREVARD SPECIALTY SURGERY CENTER LLC
Location Address95 BULLDOG BOULEVARD, SUITE 104Melbourne, FL 32901-3175
Mailing Address95 Bulldog Boulevard, Suite 104Melbourne, FL 32901-3175 · (321) 952-9800 · Fax (321) 952-7889
Phone(321) 952-9800
Fax(321) 952-7889
Organization SubpartNo
Authorized OfficialStephen FitzgeraldPresident · (321) 952-9800
Enumeration DateSeptember 15, 2009
Last NPPES UpdateApril 15, 2010
✔ NPI 1558694034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in FL · 846
95 BULLDOG BOULEVARD, Melbourne, FL 32901
Open in Google Maps ↗

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 Specialty Surgery Center LLC's NPI number?

The NPI number for Brevard Specialty Surgery Center LLC is 1558694034. It was assigned to this organization in the NPPES registry on September 15, 2009.

Where is Brevard Specialty Surgery Center LLC located?

Brevard Specialty Surgery Center LLC is located at 95 Bulldog Boulevard Suite 104, Melbourne, FL 32901. The listed phone number is (321) 952-9800.

What is Brevard Specialty Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Brevard Specialty Surgery Center LLC was last updated on April 15, 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.