Neuro Mapping INC
Clinic/Center, Multi-Specialty in Delray Beach, FL. Organization (NPI-2).
NPI number1174098693
StatusActive
Last updated in NPPESMay 14, 2019
Details
- NPI
- 1174098693
- Entity type
- Organization (NPI-2)
- Legal business name
- Neuro Mapping INC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2018
- Last updated
- May 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 2085D0003X | Radiology, Diagnostic Neuroimaging | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Practice location
2206 W Atlantic Ave Ste 200Delray Beach, FL 33445-4671
Phone 561-704-6781
Mailing address
1101 E Sample RdPompano Beach, FL 33064-5104
Phone 954-234-0003
Authorized official
Peter Merkle
President
9542340003
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