Organization
LEVA NEUROSCIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASHIA GROOM (OWNER)
(850) 495-4908
Entity
Organization
Contact information
Practice address
1817 LEWIS TURNER BLVD STE D, FORT WALTON BEACH, FL 32547-1349
(561) 727-0040
Mailing address
1817 LEWIS TURNER BLVD STE D, FORT WALTON BEACH, FL 32547-1349
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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