Center for Neurofitness LLC

NPI #1023560844 in St Augustine, Florida

Provider Information

NPI Number: 1023560844
Entity Type: Organization
Organization Name: Center for Neurofitness LLC
Primary Specialty: Technician, Other - EEG
Enumeration Date: Oct 27, 2016
Last Updated: Oct 27, 2016

Practice Location

Address: 248 SOUTHPARK CIR E
City: St Augustine
State: Florida
ZIP Code: 32086-5137
Phone: (904) 797-5680

Authorized Official

Name: MR. THOMAS H SWISSHELM, MED, EDS, BCN
Title: OWNER
Phone: (904) 797-5680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other - EEG — EEG	2472E0500X	Primary

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