Organization
NEURO MAPPING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER MERKLE MD (PRESIDENT)
(954) 234-0003
Entity
Organization
Contact information
Practice address
2206 W ATLANTIC AVE STE 200, DELRAY BEACH, FL 33445-4671
(561) 704-6781
Mailing address
1101 E SAMPLE RD, POMPANO BEACH, FL 33064-5104
(954) 234-0003
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
324500000X
NEUROMAPPING
FL
Enumeration date
10/11/2018
Last updated
05/14/2019
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