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Neuroplace P.a.
Medical Specialty Clinic/Center in Cocoa, Florida
NPI 1396163952

Neuroplace P.a. is a Medical Specialty Clinic/Center based in Cocoa, FL and is specialized in Medical Specialty. Neuroplace P.a. practices in Cocoa, FL. The NPI Number for Neuroplace P.a. is 1396163952 and holds a License No. ME104201 (Florida).

The current practice location address for Neuroplace P.a. is 6290 Betty Ave, Cocoa, FL and can be reached out via phone at 321-301-4299 and via fax at 321-301-4299.

Location: 6290 Betty Ave, Cocoa, FL, 32927-4202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396163952
Provider Name
Neuroplace P.a.
Credential
Provider Entity Type
Organization
Address
6290 Betty Ave, Cocoa, FL, 32927-4202
Phone Number
321-301-4299
Fax Number
321-301-4299
Provider Enumeration Date
04/01/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002469900 05 FL
institution
Provider Business Practice Location Address Details
Address
6290 Betty Ave
City
Cocoa
State
Florida
Zip
32927-4202
Phone Number
321-301-4299
Fax Number
321-301-4299
person
Provider Business Mailing Address Details
Address
6290 Betty Ave
City
Cocoa
State
Florida
Zip
32927-4202
Phone Number
321-301-4299
Fax Number
321-301-4299
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
ME104201 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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