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TREASURE COAST NEUROLOGY INC NPI 1760004501


NPI Information

NPI: 1760004501
Provider Name: TREASURE COAST NEUROLOGY, INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2401 FRIST BLVD STE 2B
FORT PIERCE, FL
ZIP 34950
Phone: (772) 528-1310
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TREASURE COAST NEUROLOGY, INC is a neurology psychiatry neurology in Fort Pierce, 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. TREASURE COAST NEUROLOGY, INC NPI is 1760004501. The provider is registered as an organization entity type.

The provider's business location address is:

2401 FRIST BLVD STE 2B
FORT PIERCE, FL
ZIP 34950-800
Phone: (772) 528-1310

The provider's authorized official is Raul Eduardo Montejo .
The authorized official title is Owner/neurologist and has the following contact phone number (772) 528-1310.

The enumeration date for this NPI number is 5/14/2020 and was last updated on 5/15/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyNo
22084N0400XPsychiatry & NeurologyNeurologyYes

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: 11/14/2023

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