# LOGGERHEAD MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Pain and Neuromuscular Consultants of Brevard
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023041001
- **Authorized official:** NANCY L LAYTON M.D. (OWNER)
- **Authorized official phone:** (321) 729-8223

## Contact information

- **Practice address:** 307 E NEW HAVEN AVE, MELBOURNE, FL 32901-4576
- **Practice address phone:** (321) 729-8223
- **Practice address fax:** (321) 729-6252
- **Mailing address:** PO BOX 3123, ST AUGUSTINE, FL 32085-3123
- **Mailing address phone:** (904) 824-4990
- **Mailing address fax:** (904) 824-2226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME51048 | FL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | ME105112 | FL | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 09/15/2011