| Neurology Restoration Center Llc | |
|
1701 Se Hillmoor Dr Suite D-16 Port Saint Lucie FL 34952-7552 | |
| (772) 201-1162 | |
| Not Available |
| Full Name | Neurology Restoration Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1701 Se Hillmoor Dr, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Luz G Vazquez (OWNER/MD) |
| Authorized Official Contact | 7722101162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Restoration Center Llc Po Box 7938 Port Saint Lucie FL 34985-7938 Ph: (772) 210-1162 | Neurology Restoration Center Llc 1701 Se Hillmoor Dr Suite D-16 Port Saint Lucie FL 34952-7552 Ph: (772) 201-1162 |
| NPI Number | 1043765753 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 10/02/2017 |
| Medicare PECOS PAC ID | 6507133741 |
|---|---|
| Medicare Enrollment ID | O20170518002424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043765753 | NPI | - | NPPES |
| 257198600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME68140 (Florida) | Primary |
| Provider Name | Luz G Vazquez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568418325 PECOS PAC ID: 6507936945 Enrollment ID: I20080528000493 |
Aba Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2074 Se Doverbrook St, Port Saint Lucie, FL 34983 Phone: 772-905-8836 | |
Zenith Inclusive Minds Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1962 Se Doverbrook St, Port Saint Lucie, FL 34983 Phone: 770-598-0874 | |
Thomas B. Unsworth P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6269 Nw Gisela St, Port Saint Lucie, FL 34986 Phone: 561-541-2005 Fax: 772-879-2077 | |
The Silentmarck Empowerment Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6761 Nw Elaine St, Port Saint Lucie, FL 34983 Phone: 772-577-0981 Fax: 772-521-8071 | |
Sunshine Pathways Aba, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2082 Se Erwin Rd, Port Saint Lucie, FL 34952 Phone: 630-644-7118 | |
Tamara Gilarski, Lcsw, Rpt-s, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Sw Fountainview Blvd, Port Saint Lucie, FL 34986 Phone: 772-285-7245 Fax: 772-340-7214 |