NEUROLOGY ASSOCIATES OF MELBOURNE LLC NPI 1124252010

NPI Information

  • NPI: 1124252010
  • Provider Name: NEUROLOGY ASSOCIATES OF MELBOURNE LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Doing Business As: NEUROLOGY ASSOCIATES OF MELBOURNE
  • Address: 1344 S APOLLO BLVD
    #302
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 752-2960

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NPI Details

NEUROLOGY ASSOCIATES OF MELBOURNE LLC is a neurology psychiatry neurology in Melbourne, FL. The provider is 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. NEUROLOGY ASSOCIATES OF MELBOURNE LLC NPI is 1124252010. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Neurology Associates Of Melbourne.

The provider's business location address is:

1344 S APOLLO BLVD
#302
MELBOURNE, FL
ZIP 32901-183
Phone: (321) 752-2960
Fax: (321) 752-2965

The provider's authorized official is Sandi Laroche .
The authorized official title is Mso Credentialing Coordinator and has the following contact phone number (321) 449-4168.

The enumeration date for this NPI number is 5/7/2009 and was last updated on 12/17/2009.

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
12084N0400XPsychiatry & NeurologyNeurologyME85139FLORIDAYes

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
1G99515MEDICARE UPIN

What is NPI?

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This page was last updated on: 3/30/2025

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