Organization Name: | NEUROMUSCULAR ASSOCIATES INC |
NPI Number: | 1437341070 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID J PENNELL (OWNER) |
Mailing Address: | 4701 N Fed Hwy Suite # 311, Box 9-a Lighthouse Point |
State: | FL US |
Postal Code: | 33064 |
Phone Number: | 9549937502 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2007 |
NPI Last Update Date: | 08/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | MA37160 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |