| NPI | 1457358434 |
|---|---|
| Doing Business As | COASTAL PAIN MGMT, NEUROLOGY & REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | NEIL M BROWN CEO 386-788-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS5774) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME84820) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA1823) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2023-03-24 |