Organization
NEUROCITY TBI, LLC
Active
Other names
Neurocity
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA MERLO (ACCOUNTS RECEIVABLE)
(954) 279-2170
Entity
Organization
Contact information
Practice address
10650 W STATE ROAD 84 STE 208, DAVIE, FL 33324-4235
(954) 279-2170
Mailing address
817 S UNIVERSITY DR STE 119, PLANTATION, FL 33324-3318
(954) 424-9724
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
—
—
2084N0400X
Neurology Physician
Primary
—
—
2251N0400X
Neurology Physical Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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