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Coastal Neurology, Inc.
Medical Physician Assistant in Ormond Beach, Florida
NPI 1457358434

Coastal Neurology, Inc. is a Medical Physician Assistant based in Ormond Beach, FL and is specialized in Medical. Coastal Neurology, Inc. practices in Ormond Beach, FL. The NPI Number for Coastal Neurology, Inc. is 1457358434 and holds a License No. (Florida).

The current practice location address for Coastal Neurology, Inc. is 725 W Granada Blvd, Ormond Beach, FL and can be reached out via phone at 386-788-2300 and via fax at 386-944-6622.

Location: 725 W Granada Blvd, Ormond Beach, FL, 32174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457358434
Provider Name
Coastal Neurology, Inc.
Credential
Provider Entity Type
Organization
Address
725 W Granada Blvd, Ormond Beach, FL, 32174
Phone Number
386-788-2300
Fax Number
386-944-6622
Provider Enumeration Date
07/05/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E60482 01 FL INDIVIDUAL-BENEZETTE
institution
Provider Business Practice Location Address Details
Address
725 W Granada Blvd
City
Ormond Beach
State
Florida
Zip
32174
Phone Number
386-788-2300
Fax Number
386-944-6622
person
Provider Business Mailing Address Details
Address
725 W Granada Blvd
City
Ormond Beach
State
Florida
Zip
32174
Phone Number
386-788-2300
Fax Number
386-944-6622
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Pain Medicine
Taxonomy
2081P2900X
License No.
PA1823 (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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
ME84820 (Florida)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
OS5774 (Florida)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
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Definition
Definition to come...
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