Active NPI
Cardiology Associates of Brevard LLC
- Cardiovascular Disease Physician
- Melbourne, FL
National Provider Identifier
1265760425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CARDIOLOGY ASSOCIATES OF BREVARD LLC
- Practice address
- 240 N Wickham Rd
Suite 108
Melbourne, FL 32935-8662 - Phone
- (321) 449-4572
- Fax
- (321) 449-4164
- NPI assigned
- Nov 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn Smitte
- Title
- WFP Office Assistant
- Phone
- (321) 449-4572
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
240 N Wickham Rd
Suite 108
Melbourne, FL 32935-8662
Mailing address
150 N Sykes Creek Pkwy
Suite 300
Merritt Island, FL 32953-3488
Phone (321) 449-4572
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259539200000",
"number": "1265760425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N SYKES CREEK PKWY",
"address_2": "SUITE 300",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533488",
"telephone_number": "321-449-4572",
"fax_number": "321-449-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 N WICKHAM RD",
"address_2": "SUITE 108",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329358662",
"telephone_number": "321-449-4572",
"fax_number": "321-449-4164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOLOGY ASSOCIATES OF BREVARD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-30",
"last_updated": "2009-11-30",
"status": "A",
"authorized_official_last_name": "SMITTE",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "WFP OFFICE ASSISTANT",
"authorized_official_telephone_number": "321-449-4572"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.