Brevard Wellness Clinc 1 LLC
NPI 1043633795ActiveOrganization· Internal Medicine· Palm Bay, FL
Internal Medicine in Palm Bay, Florida, registered in NPPES in January 2014. The authorized official on file is Srinivas Rao Dontineni, M.D., President.
Overview
| NPI | 1043633795 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2014 |
| Last updated in NPPES | Jan 31, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME88036 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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