Organization · Type 2 NPI

Space Coast Neurology and Pain Management PA

Specialist · Palm Bay, FL

NPI number 1942363395 Active

Practice location

4951 Babcock St NE, Suite 1
Palm Bay, FL 32905-2821

Fax (321) 984-7935

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME0072245 (FL)
Specialist 174400000XARNP 9203833 (FL)

Specialist: 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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About NPI 1942363395

Space Coast Neurology and Pain Management PA's National Provider Identifier is 1942363395, issued on Dec 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Palm Bay, FL. The record was last updated on May 22, 2008.