LOGGERHEAD MEDICAL LLC NPI 1023041001

NPI Information

  • NPI: 1023041001
  • Provider Name: LOGGERHEAD MEDICAL LLC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Doing Business As: ADVANCED PAIN AND NEUROMUSCULAR CONSULTANTS OF BREVARD
  • Address: 307 E NEW HAVEN AVE
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 729-8223

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NPI Details

LOGGERHEAD MEDICAL LLC is a pain medicine anesthesiology in Melbourne, FL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. LOGGERHEAD MEDICAL LLC NPI is 1023041001. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Pain And Neuromuscular Consultants Of Brevard.

The provider's business location address is:

307 E NEW HAVEN AVE
MELBOURNE, FL
ZIP 32901-576
Phone: (321) 729-8223
Fax: (321) 729-6252

The provider's authorized official is Nancy L Layton .
The authorized official title is Owner and has the following contact phone number (321) 729-8223.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 9/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P2900XPhysical Medicine & RehabilitationPain MedicineME105112FLORIDANo
2207LP2900XAnesthesiologyPain MedicineME51048FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139339OTHERFLORIDABCBS
2275274301MEDICAIDFLORIDA
3DC0738OTHERFLORIDAMEDICARE RAILROAD
4275274302MEDICAIDFLORIDA
5K5828MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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