Organization
NEUROLOGY INSTITUTE OF MELBOURNE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MAHLON UNGER JR. M.D. (OWNER/PHYSICIAN)
(321) 725-6999
Entity
Organization
Contact information
Practice address
116 SILVER PALM AVE, MELBOURNE, FL 32901-3172
(321) 725-6999
(321) 725-6981
Mailing address
PO BOX 459, MELBOURNE, FL 32902-0459
(321) 725-6999
(321) 725-6981
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME80168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259417000
—
FL
01
—
35458
BLUE CROSS
FL
Enumeration date
05/19/2006
Last updated
01/17/2013
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