CENTER FOR NEUROFITNESS LLC; NPI #1023560844

Contact Information

CENTER FOR NEUROFITNESS LLC

248 SOUTHPARK CIR E
SAINT AUGUSTINE, FL 32086-5137

Phone: 904-797-5680
Fax: 904-797-5681
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	EEG	2472E0500X	75	Slide Preparation Facility

Indicates primary specialty

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NPI Profile & details for CENTER FOR NEUROFITNESS LLC

NPI #	`1023560844`
LBN Legal business name	CENTER FOR NEUROFITNESS LLC
Authorized official	THOMAS SWISSHELM - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/27/2016
Last updated	10/27/2016 - About 10 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CENTER FOR NEUROFITNESS LLC

Contact Information

Specialty

EEG

NPI Profile & details for CENTER FOR NEUROFITNESS LLC

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