Florida Health Care of Brevard

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FLORIDA HEALTH CARE OF BREVARD

Practice address

1840 Eldron Blvd SE Ste 2
Palm Bay, FL 32909-6871

Phone

(561) 523-3973

NPI assigned

Jun 4, 2019

Last updated

Mar 5, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carlos Lopez

Title

Owner

Phone

(722) 226-6859

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toya Ann Alder, ARNP-C

  • Adult Health Nurse Practitioner
  • Palm Bay, FL
  • NPI 1255819157
  Medicare reassignment Care Compare group NPD
• Jonathan Peach, DNP, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Longwood, FL
  • NPI 1316375041
  Medicare reassignment Care Compare group NPD
• Duait Vega Malagon, APRN-FNP

  • Family Nurse Practitioner
  • Harmony, FL
  • NPI 1144839481

  Multi-Specialty

  Medicare reassignment Care Compare group NPD (past)
• Pamela A Myers, MD

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1104860105
  Medicare reassignment Care Compare group
• Crisanto Raul Delgado, MD

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1366441487
  Medicare reassignment NPD
• Anthony E Perrotti, D.O.

  • Family Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1073627758
  Medicare reassignment NPD
• Joseph Rosado, MD

  • General Practice Physician
  • Orlando, FL
  • NPI 1104068584
  Medicare reassignment NPD
• Andrew Ross Berkman, M.D.

  • Internal Medicine Physician
  • Atlantis, FL
  • NPI 1710060298
  NPD
• Samantha Gloria Byrne, APRN

  • Nurse Practitioner
  • Melbourne, FL
  • NPI 1295506764
  NPD
• Patricia Jean Hill, NP

  • Nurse Practitioner
  • Palm Bay, FL
  • NPI 1366782203
  NPD
• Michelle Ruddock

  • Family Nurse Practitioner
  • Atlantis, FL
  • NPI 1508411158
  NPD
• Darla Michelle Taylor, APRN

  • Nurse Practitioner
  • Palm Bay, FL
  • NPI 1811237258
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1598323461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 ELDRON BLVD SE STE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096871",
            "telephone_number": "772-226-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 ELDRON BLVD SE STE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096871",
            "telephone_number": "561-523-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEALTH CARE OF BREVARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2024-03-05",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "722-226-6859"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Florentin Rodriguez, M.D.
• Florida Dermatology Associates Inc (Palm Bay Dermatology)
• Florida Diagnostic Imaging Inc
• Florida Diagnostic Portable Imaging, Inc
• Florida Eye Associates Inc
• Florida Health Care Plan, Inc
• Florida Kidney Physicians , LLC
• Florida Therapy Center of Palm Bay, LLC
• Sophia Flowers
• Focus Beyond Therapy, LLC

• Primary Care Clinic/Center in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.