Organization
CRESCENT COAST NEUROLOGY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHSAN ZAKI NIAZI M.D. (SOLE MEMBER)
(321) 636-8366
Entity
Organization
Contact information
Practice address
1910 ROCKLEDGE BLVD STE 101, ROCKLEDGE, FL 32955-3751
(321) 636-8366
(321) 636-3985
Mailing address
1910 ROCKLEDGE BLVD STE 101, ROCKLEDGE, FL 32955-3751
(321) 636-8366
(321) 636-3985
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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