Neurology Associates of Melbourne LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME85139 Issued in FL

Legal business name

NEUROLOGY ASSOCIATES OF MELBOURNE LLC

Doing business as

Neurology Associates of Melbourne

Practice address

1344 S Apollo Blvd
#302
Melbourne, FL 32901-3183

Phone

(321) 752-2960

Fax

(321) 752-2965

NPI assigned

May 7, 2009

Organization subpart

No

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

Authorized official

Name

Sandi Laroche

Title

Mso Credentialing Coordinator

Phone

(321) 449-4168

Specialties & licenses 1

Addresses

Other names 1

• Neurology Associates of Melbourne Doing business as

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1124252010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SYKES CREEK PKWY",
            "address_2": "SUITE 300",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533488",
            "telephone_number": "321-449-4168",
            "fax_number": "321-449-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 S APOLLO BLVD",
            "address_2": "#302",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013183",
            "telephone_number": "321-752-2960",
            "fax_number": "321-752-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF MELBOURNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "LAROCHE",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "MSO CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "321-449-4168"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME85139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurology Associates of Melbourne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neurology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.