Organization
NEUROSPECT OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN BALDWIN CNMT,RT (OWNER)
(321) 266-1881
Entity
Organization
Contact information
Practice address
109 S PARK AVE, TITUSVILLE, FL 32796-3377
(321) 266-1881
Mailing address
109 S PARK AVE, TITUSVILLE, FL 32796-3377
(321) 266-1881
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
CRT49346
FL
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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