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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