SPACE COAST NEUROLOGY AND PAIN MANAGEMENT PA

PALM BAY, FL
NPI1942363395
Entity TypeOrganization
Authorized ContactMASOOD HASHMI
Owner
321-984-7997
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: FL  ME0072245)
Additional Taxonomies174400000X Specialist
(Licence: FL  ARNP 9203833)
Enumeration Date2006-12-18
Last Update Date2008-05-22
Business Address
SPACE COAST NEUROLOGY AND PAIN MANAGEMENT PA
4951 BABCOCK ST NE SUITE 1
PALM BAY, FL 32905-2821
Phone number: 321-984-7997
Mailing Address
SPACE COAST NEUROLOGY AND PAIN MANAGEMENT PA
4951 BABCOCK ST NE SUITE 1
PALM BAY, FL 32905-2821
Phone number: 321-984-7997