National Provider Identifier Database

CENTER FOR NEUROFITNESS LLC
EEG


Contact Information

CENTER FOR NEUROFITNESS LLC
248 SOUTHPARK CIR E
SAINT AUGUSTINE, FL32086-5137
Phone: 904-797-5680
Fax: 904-797-5681
Website:
Specialty Taxonomy Code
* EEG 2472E0500X

* Indicates primary specialty

NPI Profile & details for CENTER FOR NEUROFITNESS LLC

NPI Number 1023560844
Legal business name
LBN
CENTER FOR NEUROFITNESS LLC
Authorized official THOMAS SWISSHELM - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/27/2016
Last updated 10/27/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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