10D1107465 CLIA NUMBER - NEUROLOGY ASSOCIATES OF ORMOND BEACH

Laboratory Demographics

CLIA Number: 10D1107465

Facility Name: NEUROLOGY ASSOCIATES OF ORMOND BEACH

Facility Address:
8 MIRROR LAKE DR STE A & B
ORMOND BEACH, FL
ZIP 32174
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Facility Phone Number: 386 673-2500

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1871980631

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D1107465
LAB Type	Practitioner Other
Facility Name	NEUROLOGY ASSOCIATES OF ORMOND BEACH
Street	8 MIRROR LAKE DR STE A & B
City	ORMOND BEACH
State	FL
ZIP	32174
Phone	386 673-2500
CertificateType	4
CertificateEffectiveDate	11/5/2023
CertificateExpirationDate	11/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024