NPI:
1457358434
Provider Name:
COASTAL NEUROLOGY, INC.
Doing Business As: COASTAL PAIN MGMT, NEUROLOGY & REHABILITATION
Classification:
Psychiatry & Neurology - 2084N0400X
Entity Type:
Organization
Specialization: Neurology
CLIA Number: 10D2059089
Address:
725 W GRANADA BLVD
SUITE 22
ORMOND BEACH, FL
ZIP 32174
Phone:
(386) 788-2300
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COASTAL NEUROLOGY, INC. is a neurology psychiatry neurology in Ormond Beach, 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. COASTAL NEUROLOGY, INC. NPI is 1457358434. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coastal Pain Mgmt, Neurology & Rehabilitation.
The provider's business location address is:
725 W GRANADA BLVD
SUITE 22
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 788-2300
Fax: (386) 944-6622
The provider's authorized official is Neil M Brown .
The authorized official title is Ceo and has the following contact phone number (386) 788-2300.
The CLIA number assigned to this NPI record is 10D2059089 - physician office with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 7/5/2005 and was last updated on 3/24/2023.