Organization
NEUROLOGY ASSOCIATES OF MELBOURNE LLC
Active
Other names
Neurology Associates of Melbourne
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI LAROCHE (MSO CREDENTIALING COORDINATOR)
(321) 449-4168
Entity
Organization
Contact information
Practice address
1344 S APOLLO BLVD, #302, MELBOURNE, FL 32901-3183
(321) 752-2960
(321) 752-2965
Mailing address
150 N SYKES CREEK PKWY, SUITE 300, MERRITT ISLAND, FL 32953-3488
(321) 449-4168
(321) 449-4164
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME85139
FL
Other
Enumeration date
05/07/2009
Last updated
12/17/2009
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