Space Coast Neurology And Pain Management Pa in Palm Bay - Specialist

Space Coast Neurology And Pain Management Pa - NPI 1942363395

Space Coast Neurology And Pain Management Pa is a Specialist in Palm Bay, Florida. Space Coast Neurology And Pain Management Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Space Coast Neurology And Pain Management Pa is 1942363395. The last update date is 2008-05-22.

Space Coast Neurology And Pain Management Pa's current location address is 4951 Babcock St Ne, Palm Bay, Florida. You can contact this provider via phone number 3219847997 and fax number 3219847935. The mailing address for Space Coast Neurology And Pain Management Pa is 4951 Babcock St Ne, Palm Bay, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Space Coast Neurology And Pain Management Pa
Address 4951 Babcock St Ne, Palm Bay, Florida
Phone Number 3219847997
Fax Number 3219847935
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Hashmi Masood
Credentials MD
Telephone Number 3219847997

NPI Number Detail

NPI Number 1942363395
Provider Enumeration Date 2006-12-18
Last Updated Date 2008-05-22

Provider Mailing Address Detail

Address 4951 Babcock St Ne
City Palm Bay
State Florida (FL)
Post Code 329052821
Phone Number 3219847997
Fax Number 3219847935

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No ARNP 9203833
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
269085300 FL --

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FAQs about Space Coast Neurology And Pain Management Pa

What is the Space Coast Neurology And Pain Management Pa's 1942363395?

The Space Coast Neurology And Pain Management Pa's NPI (National Provider Identifier) Number is 1942363395. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Space Coast Neurology And Pain Management Pa located?

The Space Coast Neurology And Pain Management Pa is located at 4951 Babcock St Ne, Palm Bay, FL 329052821.

What is Space Coast Neurology And Pain Management Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Space Coast Neurology And Pain Management Pa's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

When was the Space Coast Neurology And Pain Management Pa's 1942363395 issued?

The Space Coast Neurology And Pain Management Pa's 1942363395 was issued on 2006-12-18.

As of what date were the details pertaining to Space Coast Neurology And Pain Management Pa last refreshed?

The information related to the Space Coast Neurology And Pain Management Pa, including its address, specialty, and other relevant details, was last updated on 2008-05-22.

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