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Space Coast Neurology And Pain Management Pa
Specialist in Palm Bay, Florida
NPI 1942363395

Space Coast Neurology And Pain Management Pa is a Specialist based in Palm Bay, FL. Space Coast Neurology And Pain Management Pa practices in Palm Bay, FL. The NPI Number for Space Coast Neurology And Pain Management Pa is 1942363395 and holds a License No. ME0072245 (Florida).

The current practice location address for Space Coast Neurology And Pain Management Pa is 4951 Babcock St Ne, Palm Bay, FL and can be reached out via phone at 321-984-7997 and via fax at 321-984-7935.

Location: 4951 Babcock St Ne, Palm Bay, FL, 32905-2821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942363395
Provider Name
Space Coast Neurology And Pain Management Pa
Credential
Provider Entity Type
Organization
Address
4951 Babcock St Ne, Palm Bay, FL, 32905-2821
Phone Number
321-984-7997
Fax Number
321-984-7935
Provider Enumeration Date
12/18/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
269085300 05 FL
institution
Provider Business Practice Location Address Details
Address
4951 Babcock St Ne
City
Palm Bay
State
Florida
Zip
32905-2821
Phone Number
321-984-7997
Fax Number
321-984-7935
person
Provider Business Mailing Address Details
Address
4951 Babcock St Ne
City
Palm Bay
State
Florida
Zip
32905-2821
Phone Number
321-984-7997
Fax Number
321-984-7935
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0072245 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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