South Brevard Holistic Center, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC7823 Issued in FL

Legal business name

SOUTH BREVARD HOLISTIC CENTER, INC.

Practice address

2174 Harris Ave NE
Suite 3
Palm Bay, FL 32905-4040

Phone

(321) 574-5719

Fax

(321) 952-0697

NPI assigned

May 22, 2008

Last updated

May 22, 2008By 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

Mrs. Cheslye Philoche, LMTNPI 1356501399

Title

Massage Therapist/Manager

Phone

(321) 574-5719

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Cheslye Philoche, MA

  • Contractor
  • Palm Bay, FL
  • NPI 1356501399
  NPD (past) Authorized official

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1730346065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2174 HARRIS AVE NE",
            "address_2": "SUITE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054040",
            "telephone_number": "321-574-5719",
            "fax_number": "321-952-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 HARRIS AVE NE",
            "address_2": "SUITE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054040",
            "telephone_number": "321-574-5719",
            "fax_number": "321-952-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BREVARD HOLISTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "PHILOCHE",
        "authorized_official_first_name": "CHESLYE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST/MANAGER",
        "authorized_official_telephone_number": "321-574-5719",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somersall Chiropractic LLC
• Curt Sonchaiwanich, D.M.D
• Kevin C Sorensen, O.D.
• Sound Hearing Centers, LLC
• South Brevard Behavioral Medicine
• Erin L Soyka
• Space Coast Center for Sexual Health LLC
• Space Coast Chiropractic & Acupuncture
• Space Coast Eye Care Inc.
• Space Coast Hospitalists LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.