Organization
DESIGN NEUROSCIENCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA B ELBERG (PHYSICIAN)
(305) 653-5155
Entity
Organization
Contact information
Practice address
100 NW 170TH ST, NORTH MIAMI BEACH, FL 33169-5513
(305) 653-5155
Mailing address
3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME91238
FL
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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