Organization
NEUROLOGIC ASSOCIATES OF CENTRAL BREVARD INC
Active
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
Update your record
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