Coastal Neurology, Inc.
May also be knows as Coastal Pain Mgmt, Neurology & Rehabilitation
Neurology Physician in Ormond Beach, FL(View on Map)
Legal Business Name
Coastal Neurology, Inc.
Also Known As
Coastal Pain Mgmt, Neurology & Rehabilitation
NPI Number
1457358434
NPI Type
Organization
Enumeration Date
07/05/2005
Specialties
(Taxonomies)Name
Code
2084N0400X
208VP0014X
363AM0700X
2081P2900X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Florida
Florida
Florida
License Number
OS5774
ME84820
PA1823
Contact
Information
Purpose
Mailing
Location
Address
725 W GRANADA BLVD
725 W GRANADA BLVD
City
Ormond Beach
Ormond Beach
State
FL
FL
Postal Code
32174
32174
Country
US
US
Telephone Number
(386) 788-2300
(386) 788-2300
Authorized Official
Name
Dr. Neil Brown
Title or Position
CEO
Telephone Number
(386) 788-2300
Identifiers
Identifier
E60482
Identifier State
FL
Identifier Issuer
INDIVIDUAL-BENEZETTE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/24/2023
Provider Address
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