Organization
MAYBACH NEUROSURGERY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM LEWIS (OWNER)
(386) 457-7117
Entity
Organization
Contact information
Practice address
1545 HAND AVE STE A1, ORMOND BEACH, FL 32174-1140
(386) 457-7117
Mailing address
1545 HAND AVE STE A1, ORMOND BEACH, FL 32174-1140
(386) 457-7117
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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