BREVARD FAMILY WALK IN CLINIC MERRITT ISLAND
NPI 1881008696
Non-Pharmacy Dispensing Site in Merritt Island, FL

Active since June 19, 2014
1205 N COURTENAY PKWY, MERRITT ISLAND, FL 32953(321) 636-0005 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brevard Family Walk In Clinic Merritt Island NPPES

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

BREVARD FAMILY WALK IN CLINIC MERRITT ISLAND (NPI 1881008696) is a healthcare organization registered as a non-pharmacy dispensing site in Merritt Island, Florida and active in the NPI registry since June 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1881008696
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBREVARD FAMILY WALK IN CLINIC LLC
Location Address1205 N COURTENAY PKWYMerritt Island, FL 32953-5500
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateJune 19, 2014
NPI 1881008696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in FL · ME86649
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1205 N COURTENAY PKWY, Merritt Island, FL 32953

Other Names 1

Doing Business AsBrevard Family Walk In Clinic Merritt Island

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.

Podiatrist (Foot & Ankle Surgery)
1205 N COURTENAY PKWY
MERRITT ISLAND, FL 32953
Dentist (Prosthodontics)
1205 N COURTENAY PKWY
MERRITT ISLAND, FL 32953
Podiatrist (Foot & Ankle Surgery)
1205 N COURTENAY PKWY
MERRITT ISLAND, FL 32953

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 Family Walk In Clinic LLC's NPI number?

The NPI number for Brevard Family Walk In Clinic LLC is 1881008696. It was assigned to this organization in the NPPES registry on June 19, 2014. The provider is doing business as Brevard Family Walk In Clinic Merritt Island.

Where is Brevard Family Walk In Clinic LLC located?

Brevard Family Walk In Clinic LLC is located at 1205 N Courtenay Pkwy, Merritt Island, FL 32953. The listed phone number is (321) 636-0005.

What is Brevard Family Walk In Clinic LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Brevard Family Walk In Clinic LLC was last updated on June 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.