BREVARD CLINICAL RESEARCH CENTER, INC.
NPI 1730550328
Specialist - Research Study in Melbourne, FL

Active since October 08, 2015
187 S WICKHAM RD, UNIT 101, MELBOURNE, FL 32904(321) 312-4530 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist
  • Research Study

About BREVARD CLINICAL RESEARCH CENTER, INC.

This page provides the complete NPI Profile along with additional information for Brevard Clinical Research Center, Inc., a provider established in Melbourne, Florida operating as a Specialist, focusing in research study . The healthcare provider is registered in the NPI registry with number 1730550328 assigned on October 2015. The practitioner's primary taxonomy code is 1744R1102X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Elizabeth Smith (President)

NPI
1730550328 Verify this NPI
Provider Name
BREVARD CLINICAL RESEARCH CENTER, INC.
Entity Type
Organization
Location Address
187 S WICKHAM RD UNIT 101 MELBOURNE, FL 32904
Location Phone
(321) 312-4530
Mailing Address
4423 CYPRESS MILL RD KISSIMMEE, FL 34746
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-08-2015
Last Update Date
10-08-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist Research Study

Taxonomy Code
1744R1102X
Type
Other Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. ELIZABETH SMITH

Authorized Official Title
PRESIDENT
Authorized Official Phone
(321) 312-4530

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Chiropractor
187 S WICKHAM RD, SUITE 2
MELBOURNE, FL 32904
Clinic/Center
187 S WICKHAM RD, SUITE 101
MELBOURNE, FL 32904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730550328, enumerated as an "organization" on October 08, 2015.

The provider is located at 187 S WICKHAM RD UNIT 101 MELBOURNE, FL 32904 and the phone number is (321) 312-4530.

Specialist with taxonomy code 1744R1102X and a focus in Research Study.