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Organization

SEA BLUE NEUROLOGY CENTER, PA

Active
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Organization

SEA BLUE NEUROLOGY CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANNE DAMAS (OFFICE MANAGER)
(954) 796-9060
Entity
Organization

Contact information

Practice address
3100 CORAL HILLS DR, SUITE 308, CORAL SPRINGS, FL 33065-4137
(954) 796-9060
(954) 796-9061
Mailing address
PO BOX 25926, TAMARAC, FL 33320
(954) 796-9060
(954) 796-9061

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME87897
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1044955
CAREPLUS HEALTH PLAN
01
197019
AMERIGROUP
01
293244
AVMED HEALTH PLAN
01
7229240
CIGNA HEALTH CARE
01
81087
BLUE CROSS BLUE SHIELD
Enumeration date
08/20/2006
Last updated
06/28/2010
Update your record

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