| Crescent Coast Neurology, L.l.c. | |
|
1910 Rockledge Blvd Ste 101 Rockledge FL 32955-3751 | |
| (321) 636-8366 | |
| (321) 636-3985 |
| Full Name | Crescent Coast Neurology, L.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1910 Rockledge Blvd Ste 101, Rockledge, Florida |
| Authorized Official Name and Position | Ahsan Zaki Niazi (SOLE MEMBER) |
| Authorized Official Contact | 3216368366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Coast Neurology, L.l.c. 1910 Rockledge Blvd Ste 101 Rockledge FL 32955-3751 Ph: (321) 636-8366 | Crescent Coast Neurology, L.l.c. 1910 Rockledge Blvd Ste 101 Rockledge FL 32955-3751 Ph: (321) 636-8366 |
| NPI Number | 1902522782 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Medicare PECOS PAC ID | 6901273382 |
|---|---|
| Medicare Enrollment ID | O20221028001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902522782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Ahsan Zaki Niazi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245737642 PECOS PAC ID: 6406107655 Enrollment ID: I20221115000980 |
Rockledge Hma, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Longwood Ave, Mail Stop #24, Rockledge, FL 32955 Phone: 321-636-2211 | |
Coastal Mental Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1281 Florida Ave S Ste 2, Rockledge, FL 32955 Phone: 800-614-4124 Fax: 888-217-4124 | |
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Center For Counseling And Hypnosis, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1027 Pathfinder Way, Suite 112, Rockledge, FL 32955 Phone: 321-961-4112 Fax: 321-507-4091 | |
Monarch Educational And Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 Solutions Way Ste 110, Rockledge, FL 32955 Phone: 321-305-4342 | |
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