BREVARD VASCULAR ASSOCIATES LLC – Vascular Surgery Physician, NPI 1184806630

BREVARD VASCULAR ASSOCIATES LLC is a healthcare provider. based in Merritt island, Florida. specializing in Vascular Surgery Physician. The organization holds a License No. ME91509 (FL). The NPI Number for BREVARD VASCULAR ASSOCIATES LLC is 1184806630

Main info

Organization
Name
BREVARD VASCULAR ASSOCIATES LLC
NPI
1184806630
Phone
(321) 449-4168
Address
150 N SYKES CREEK PKWY
Authorized Official
SANDI LAROCHE MSO CREDENTIALING COORDINATOR
Enumeration Date
27 November 2007
Last Update Date
4 August 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for BREVARD VASCULAR ASSOCIATES LLC

  • 150, North Sykes Creek Parkway, Merritt Island, Brevard County, Florida, 32953, United States

    SUITE 300

    MERRITT ISLAND, FL 329533488

    Phone: (321) 449-4168

    Fax: (321) 449-4164

    Type: Mailing

  • 1004, Beverly Drive, Rockledge, Brevard County, Florida, 32955, United States

    SUITE D

    ROCKLEDGE, FL 329552851

    Phone: (321) 637-4710

    Fax: (321) 637-4715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32953)

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Reviews

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Frequently asked questions

How do payers reference BREVARD VASCULAR ASSOCIATES LLC?
For BREVARD VASCULAR ASSOCIATES LLC, use NPI 1184806630 as the unique 10-digit identifier.
Is there an active status for BREVARD VASCULAR ASSOCIATES LLC?
For scheduling context, BREVARD VASCULAR ASSOCIATES LLC is shown as active in the registry.
How would a patient describe BREVARD VASCULAR ASSOCIATES LLC's focus?
For BREVARD VASCULAR ASSOCIATES LLC, the primary taxonomy reads as Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Is BREVARD VASCULAR ASSOCIATES LLC located near Merritt Island?
BREVARD VASCULAR ASSOCIATES LLC currently maps to Merritt Island, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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