Organization
VERO BEACH COGNITIVE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA A PRESCOTT DO (MEDICAL DIRECTOR)
(772) 584-3083
Entity
Organization
Contact information
Practice address
333 17TH ST STE M, VERO BEACH, FL 32960-5686
(772) 584-3083
(772) 218-3003
Mailing address
333 17TH ST STE M, VERO BEACH, FL 32960-5686
(772) 584-3083
(772) 218-3003
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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