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Neurology & Spine Disorders Llc
Neurology Physician in Port Orange, Florida
NPI 1790008811

Neurology & Spine Disorders Llc is a Neurology Physician based in Daytona Beach, FL and is specialized in Neurology. Neurology & Spine Disorders Llc practices in Port Orange, FL. The NPI Number for Neurology & Spine Disorders Llc is 1790008811 and holds a License No. ME46005 (Florida).

The current practice location address for Neurology & Spine Disorders Llc is 5111 S Ridgewood Ave, Port Orange, FL and can be reached out via phone at 386-763-4484 and via fax at 386-763-1288.

Location: 5111 S Ridgewood Ave, Port Orange, FL, 32117-5515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790008811
Provider Name
Neurology & Spine Disorders Llc
Credential
Provider Entity Type
Organization
Address
5111 S Ridgewood Ave, Port Orange, FL, 32117-5515
Phone Number
386-763-4484
Fax Number
386-763-1288
Provider Enumeration Date
03/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000EZ 01 FL BLUE CROSS BLUE SHIELD
DQ2689 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
5111 S Ridgewood Ave
City
Port Orange
State
Florida
Zip
32127-5169
Phone Number
386-763-4484
Fax Number
386-763-1288
person
Provider Business Mailing Address Details
Address
5111 S Ridgewood Ave
City
Port Orange
State
Florida
Zip
32127-5169
Phone Number
386-763-4484
Fax Number
386-763-1288
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
ME46005 (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.
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