Organization
NEUROMUSCULAR ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J PENNELL AC. PHYS, L.M.T. (OWNER)
(954) 993-7502
Entity
Organization
Contact information
Practice address
4701 N FED HWY, SUITE # 311, BOX 9-A, LIGHTHOUSE POINT, FL 33064
(954) 993-7502
Mailing address
418 N RIVER DR, DEERFIELD BEACH, FL 33441-2043
(954) 993-7502
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP215
FL
261QH0100X
Health Service Clinic/Center
MA37160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0079
BLUE CROSS BLUE SHIELD
FL
01
—
C2425
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/17/2007
Last updated
08/17/2007
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