Organization · Type 2 NPI

Loggerhead Medical LLC

Pain Medicine (Anesthesiology) Physician · Melbourne, FL

NPI number 1023041001 Active

Practice location

307 E New Haven Ave
Melbourne, FL 32901-4576

Fax (321) 729-6252

Mailing address

PO Box 3123
St. Augustine, FL 32085-3123

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician Primary 207LP2900XME51048 (FL)
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900XME105112 (FL)

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

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About NPI 1023041001

Loggerhead Medical LLC's National Provider Identifier is 1023041001, issued on Jul 10, 2006. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Melbourne, FL. The record was last updated on Sep 15, 2011.