| Neurology Institute Of Melbourne Pa | |
|
116 Silver Palm Ave Melbourne FL 32901-3172 | |
| (321) 725-6999 | |
| (321) 725-6981 |
| Full Name | Neurology Institute Of Melbourne Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 116 Silver Palm Ave, Melbourne, Florida |
| Authorized Official Name and Position | Richard Mahlon Unger (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3217256999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Institute Of Melbourne Pa Po Box 459 Melbourne FL 32902-0459 Ph: (321) 725-6999 | Neurology Institute Of Melbourne Pa 116 Silver Palm Ave Melbourne FL 32901-3172 Ph: (321) 725-6999 |
| NPI Number | 1871546689 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 01/17/2013 |
| Medicare PECOS PAC ID | 0143235598 |
|---|---|
| Medicare Enrollment ID | O20060207000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871546689 | NPI | - | NPPES |
| 259417000 | Medicaid | FL | |
| 35458 | Other | FL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME80168 (Florida) | Primary |
| Provider Name | Richard M Unger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730155961 PECOS PAC ID: 0143235507 Enrollment ID: I20060209000231 |
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