OrganizationActive
Brevard Wound Care Center, LLC
NPI 1154910271 · Infectious Disease Physician · Melbourne, FL
Provider details
- NPI number
- 1154910271
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Miguel Mateos-Mora, Owner/Operator(321) 254-1611
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
445 Pineda Ct
Melbourne, FL 32940-7555
Phone: (321) 254-1611
Fax: (321) 254-3166
Street-level locationGet directions
Mailing address
445 Pineda Ct
Melbourne, FL 32940-7555
Registry dates
- Enumerated
- 2021-01-13
- Last updated
- 2021-01-13
- Certified
- 2021-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.