Organization
CENTER FOR NEUROFITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS H SWISSHELM MED, EDS, BCN (OWNER)
(904) 797-5680
Entity
Organization
Contact information
Practice address
248 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5137
(904) 797-5680
(904) 797-5681
Mailing address
248 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5137
(904) 797-5680
(904) 797-5681
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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