| Neurology & Spine Disorders Llc | |
|
5111 S Ridgewood Ave Suite 102 Port Orange FL 32127-5169 | |
| (386) 763-4484 | |
| (386) 763-1288 |
| Full Name | Neurology & Spine Disorders Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5111 S Ridgewood Ave, Port Orange, Florida |
| Authorized Official Name and Position | Al Falco (CEO) |
| Authorized Official Contact | 3862747118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology & Spine Disorders Llc 1673 Mason Ave Suite 107 Daytona Beach FL 32117-5515 Ph: (386) 274-7118 | Neurology & Spine Disorders Llc 5111 S Ridgewood Ave Suite 102 Port Orange FL 32127-5169 Ph: (386) 763-4484 |
| NPI Number | 1790008811 |
|---|---|
| Provider Enumeration Date | 03/03/2010 |
| Last Update Date | 09/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790008811 | NPI | - | NPPES |
| 000EZ | Other | FL | BLUE CROSS BLUE SHIELD |
| DQ2689 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME46005 (Florida) | Primary |
Counseling Associates Of Port Orange, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3959 S Nova Rd, Suite 5, Port Orange, FL 32127 Phone: 386-761-2390 Fax: 386-761-3256 | |
Center For Behavioral Medicine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 Dunlawton Ave, Suite 3, Port Orange, FL 32127 Phone: 138-695-7390 | |
Self Quest Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3959 S Nova Rd Ste B-15, Port Orange, FL 32127 Phone: 386-566-6632 Fax: 855-471-0759 | |
Dr Anthony S Capozzi Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 Dunlawton Ave Ste 3, Port Orange, FL 32127 Phone: 386-957-3905 | |
Bloom Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2473 Karl Dr, Port Orange, FL 32128 Phone: 904-788-9474 Fax: 760-205-4866 | |
Sue Levy Psyd Lcsw Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3959 S Nova Road, Bldg B Suite 23, Port Orange, FL 32127 Phone: 386-253-8439 Fax: 386-253-8439 | |
Grimes Neurology And Concussion Center, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Dunlawton Ave Ste 103, Port Orange, FL 32127 Phone: 386-679-3270 |