Organization
NEUROSKELETAL IMAGING LLC
Active
Other names
NSI MELBOURNE
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FAUCETT (ADMINISTRATOR)
(321) 409-9990
Entity
Organization
Contact information
Practice address
709 S HARBOR CITY BLVD STE 100, MELBOURNE, FL 32901-1936
(321) 409-9990
Mailing address
PO BOX 400, MELBOURNE, FL 32902-0400
(321) 409-9990
(321) 956-2165
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274540200
—
FL
Enumeration date
09/01/2005
Last updated
04/23/2024
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