Organization
NEUROLOGY & SPINE DISORDERS LLC
Active
Organization
NEUROLOGY & SPINE DISORDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL FALCO (CEO)
(386) 274-7118
Entity
Organization
Contact information
Practice address
5111 S RIDGEWOOD AVE, SUITE 102, PORT ORANGE, FL 32127-5169
(386) 763-4484
(386) 763-1288
Mailing address
1673 MASON AVE, SUITE 107, DAYTONA BEACH, FL 32117-5515
(386) 274-7118
(386) 274-6173
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME46005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000EZ
BLUE CROSS BLUE SHIELD
FL
01
—
DQ2689
RAILROAD MEDICARE
FL
Enumeration date
03/03/2010
Last updated
09/08/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up