| Titusville Neurology Llc | |
|
123 S Park Ave Titusville FL 32796-3377 | |
| (321) 383-0900 | |
| (321) 383-0024 |
| Full Name | Titusville Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 123 S Park Ave, Titusville, Florida |
| Authorized Official Name and Position | Leila Maria Patallo (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3213830900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Titusville Neurology Llc 123 S Park Ave Titusville FL 32796-3377 Ph: (321) 383-0900 | Titusville Neurology Llc 123 S Park Ave Titusville FL 32796-3377 Ph: (321) 383-0900 |
| NPI Number | 1508287715 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 01/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508287715 | NPI | - | NPPES |
| 13868 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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