NEUROLOGIC ASSOCIATES OF CENTRAL BREVARD INC NPI 1295937373

NPI Information

NEUROLOGIC ASSOCIATES OF CENTRAL BREVARD INC is a neurology psychiatry neurology in Merritt Island, 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. NEUROLOGIC ASSOCIATES OF CENTRAL BREVARD INC NPI is 1295937373. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1395 N COURTENAY PKWY
SUITE #106
MERRITT ISLAND, FL
ZIP 32953-400
Phone: (321) 452-1224
Fax: (321) 453-7784

The provider's authorized official is Patricia Valluzzi .
The authorized official title is Office Manager and has the following contact phone number (321) 452-1224.

The CLIA number assigned to this NPI record is 10D2118275 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 1/10/2012.

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:

Other Identifiers

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