Sea Blue Neurology Center, Pa in Tamarac - Neurology

Sea Blue Neurology Center, Pa - NPI 1063527281

Sea Blue Neurology Center, Pa is a Neurology in Tamarac, Florida. Sea Blue Neurology Center, Pa practices all healthcare services and medical treatments related to Neurology. The NPI Number for Sea Blue Neurology Center, Pa is 1063527281. The last update date is 2010-06-28.

Sea Blue Neurology Center, Pa's current location address is Po Box 25926, Tamarac, Florida. You can contact this provider via phone number 9547969060 and fax number 9547969061. The mailing address for Sea Blue Neurology Center, Pa is Po Box 25926, Tamarac, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sea Blue Neurology Center, Pa
Address Po Box 25926, Tamarac, Florida
Phone Number 9547969060
Fax Number 9547969061
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Damas Janne
Telephone Number 9547969060

NPI Number Detail

NPI Number 1063527281
Provider Enumeration Date 2006-08-20
Last Updated Date 2010-06-28

Provider Mailing Address Detail

Address Po Box 25926
City Tamarac
State Florida (FL)
Post Code 33320
Phone Number 9547969060
Fax Number 9547969061

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No ME87897
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
81087 BLUE CROSS BLUE SHIELD
7229240 CIGNA HEALTH CARE
1044955 CAREPLUS HEALTH PLAN
197019 AMERIGROUP
293244 AVMED HEALTH PLAN

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FAQs about Sea Blue Neurology Center, Pa

What is the unique 10-digit identification code assigned to Sea Blue Neurology Center, Pa by the Centers for Medicare & Medicaid Services?

The Sea Blue Neurology Center, Pa has been issued the NPI (National Provider Identifier) 1063527281, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Sea Blue Neurology Center, Pa's facilities are situated?

The facilities of Sea Blue Neurology Center, Pa are physically located at the following address: Po Box 25926, Tamarac, FL, 33320.

What is Sea Blue Neurology Center, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Sea Blue Neurology Center, Pa's specialized field of practice is Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 2084N0400X.

On what date did the Sea Blue Neurology Center, Pa receive its 1063527281 assignment from the Centers for Medicare & Medicaid Services?

The Sea Blue Neurology Center, Pa was assigned its 1063527281 by the Centers for Medicare & Medicaid Services on 2006-08-20.

As of what date were the details related to Sea Blue Neurology Center, Pa most recently updated or revised?

The information pertaining to Sea Blue Neurology Center, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-28.

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