Organization · Type 2 NPI

East Coast Neuro LLC

Neurology Physician · Jacksonville, FL

NPI number 1124424643 Active

Practice location

10550 Deerwood Park Blvd Ste 609A
Jacksonville, FL 32256-2811

Fax (904) 212-0223

Mailing address

PO Box 936957
Atlanta, GA 31193-6957

Other practice locations

  • 13453 N Main St Ste 302, Jacksonville, FL 32218-2773 · (904) 513-3954

Specialties and licenses

TaxonomyCodeLicense
Neurology Chiropractor 111NN0400XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Neurology Physician Primary 2084N0400XNone listed
Physical Therapist 225100000XNone listed

Neurology Physician: 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.

7 other providers at this address

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About NPI 1124424643

East Coast Neuro LLC's National Provider Identifier is 1124424643, issued on Nov 11, 2014. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 22, 2026.