Organization
NEUROLOGY CLINIC PA
Active
Organization
NEUROLOGY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J PACKEY PHD MD (PRESIDENT)
(321) 984-9400
Entity
Organization
Contact information
Practice address
1333 PINE ST, MELBOURNE, FL 32901-3116
(321) 984-9400
(321) 984-8782
Mailing address
1333 PINE ST, MELBOURNE, FL 32901-3116
(321) 984-9400
(321) 984-8782
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
08/31/2010
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