Organization
INTERCOASTAL NEUROLOGY AND SLEEP CARE CENTER PLLC
Active
Organization
INTERCOASTAL NEUROLOGY AND SLEEP CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHARAT TOLIA MD (PRESIDENT)
(386) 445-2300
Entity
Organization
Contact information
Practice address
381 PALM COAST PKWY SW, SUITE 1804, PALM COAST, FL 32137-4781
(386) 445-2300
Mailing address
3868 VISTA LN, ORCHARD LAKE, MI 48323-1678
(386) 445-2300
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301041039
MI
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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