Neurospect of Florida

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

CRT49346 Issued in FL

Legal business name

NEUROSPECT OF FLORIDA

Practice address

109 S Park Ave
Titusville, FL 32796-3377

Phone

(321) 266-1881

NPI assigned

Jun 6, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brian Baldwin, CNMT,RT

Title

Owner

Phone

(321) 266-1881

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1093128084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S PARK AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963377",
            "telephone_number": "321-266-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S PARK AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963377",
            "telephone_number": "321-266-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPECT OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-266-1881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNMT,RT"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "CRT49346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Angel Navas Micheo, M.D., F.A.C.O.G.
• Cindy M Nazario- Matos, M.D.
• Jennifer L Neff, APRN, MSN, FNP-BC
• Nemours Children's Health, Titusville, Specialty Care
• Neurobloom Therapy LLC
• New Creation Counseling LLC (Embrace Wellness Center)
• New Life Space Coast Adult Daycare
• Jade Newberry, SLPA
• Leanna Nguyen
• James T Nichols, MD

• Magnetic Resonance Imaging (MRI) Clinic/Center in Titusville, FL
• Providers in Titusville, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.