Neurology Associates Of Melbourne LLC
Psychiatry & Neurology, Neurology in Melbourne, FL. Organization (NPI-2).
NPI number1124252010
StatusActive
Last updated in NPPESDec 17, 2009
Details
- NPI
- 1124252010
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurology Associates Of Melbourne LLC
- Organization subpart
- No
- Enumeration date
- May 7, 2009
- Last updated
- Dec 17, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | ME85139 | FL | Yes |
Other names
- Neurology Associates Of Melbourne (Doing Business As)
Practice location
1344 S Apollo Blvd#302
Melbourne, FL 32901-3183
Phone 321-752-2960 · Fax 321-752-2965
Mailing address
150 N Sykes Creek PkwySuite 300
Merritt Island, FL 32953-3488
Phone 321-449-4168 · Fax 321-449-4164
Authorized official
Sandi Laroche
Mso Credentialing Coordinator
3214494168
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