Organization
NEUROLOGY ASSOCIATES OF ORMOND BEACH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEVON BUONO (OFFICE MANAGER)
(386) 673-2500
Entity
Organization
Contact information
Practice address
8 MIRROR LAKE DR, STE A, ORMOND BEACH, FL 32174-5935
(386) 673-2500
(386) 673-3204
Mailing address
8 MIRROR LAKE DR, STE A, ORMOND BEACH, FL 32174-5935
(386) 673-2500
(386) 673-3204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250638600
—
FL
01
—
40662
BLUE CROSS
FL
01
—
CC7418
RAILROAD MEDICARE
FL
Enumeration date
04/18/2006
Last updated
01/14/2025
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