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Loggerhead Medical Llc
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Melbourne, Florida
NPI 1023041001

Loggerhead Medical Llc is a Pain Medicine (Physical Medicine & Rehabilitation) Physician based in St Augustine, FL and is specialized in Pain Medicine. Loggerhead Medical Llc practices in Melbourne, FL. The NPI Number for Loggerhead Medical Llc is 1023041001 and holds a License No. ME51048 (Florida).

The current practice location address for Loggerhead Medical Llc is 307 E New Haven Ave, Melbourne, FL and can be reached out via phone at 321-729-8223 and via fax at 321-729-6252. You can also correspond with Loggerhead Medical Llc through the mailing address at PO BOX 3123, ST AUGUSTINE, FL - 32085-3123 (mailing address contact number: 904-824-4990).

Location: 307 E New Haven Ave, Melbourne, FL, 32085-3123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023041001
Provider Name
Loggerhead Medical Llc
Credential
Provider Entity Type
Organization
Address
307 E New Haven Ave, Melbourne, FL, 32085-3123
Phone Number
321-729-8223
Fax Number
321-729-6252
Provider Enumeration Date
07/10/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
275274302 05 FL
39339 01 FL BCBS
275274301 05 FL
DC0738 01 FL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
307 E New Haven Ave
City
Melbourne
State
Florida
Zip
32901-4576
Phone Number
321-729-8223
Fax Number
321-729-6252
person
Provider Business Mailing Address Details
Address
Po Box 3123
City
St Augustine
State
Florida
Zip
32085-3123
Phone Number
904-824-4990
Fax Number
904-824-2226
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
207LP2900X
License No.
ME105112 (Florida)
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Pain Medicine
Taxonomy
2081P2900X
License No.
ME51048 (Florida)
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
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