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
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