# NEUROPLACE P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396163952
- **Authorized official:** DR. VESNA MICIC M.D. (PRESIDENT)
- **Authorized official phone:** (832) 370-3789

## Contact information

- **Practice address:** 6290 BETTY AVE, COCOA, FL 32927-4202
- **Practice address phone:** (321) 301-4299
- **Practice address fax:** (321) 301-4299
- **Mailing address:** 6290 BETTY AVE, COCOA, FL 32927-4202
- **Mailing address phone:** (321) 301-4299
- **Mailing address fax:** (321) 301-4299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME104201 | FL | Yes |

## Other

- **Enumeration date:** 04/01/2014
- **Last updated:** 04/01/2014