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Organization

COASTAL NEUROLOGY, INC.

Active
Other names
Coastal Pain Mgmt, Neurology & Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NEIL M BROWN D.C. (CEO)
(386) 788-2300
Entity
Organization

Contact information

Practice address
725 W GRANADA BLVD, SUITE 22, ORMOND BEACH, FL 32174
(386) 788-2300
(386) 944-6622
Mailing address
725 W GRANADA BLVD, SUITE 22, ORMOND BEACH, FL 32174
(386) 788-2300
(386) 944-6622

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
2084N0400X
Neurology Physician
Primary
OS5774
FL
208VP0014X
Interventional Pain Medicine Physician
ME84820
FL
363AM0700X
Medical Physician Assistant
PA1823
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E60482
INDIVIDUAL-BENEZETTE
FL
Enumeration date
07/05/2005
Last updated
03/24/2023
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