Organization
NEUROLOGIC ASSOCIATES OF CENTRAL BREVARD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA VALLUZZI (OFFICE MANAGER)
(321) 452-1224
Entity
Organization
Contact information
Practice address
1395 N COURTENAY PKWY, SUITE #106, MERRITT ISLAND, FL 32953-4400
(321) 452-1224
(321) 453-7784
Mailing address
1395 N COURTENAY PKWY, SUITE #106, MERRITT ISLAND, FL 32953-4400
(321) 452-1224
(321) 453-7784
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053783700
—
FL
01
—
77741
BCBS
FL
Enumeration date
06/01/2007
Last updated
01/10/2012
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