<Unavail>

LBN: East Coast Neuro Llc
<Unavail> is an health care organization with primary practice located at 10550 Deerwood Park Blvd Ste 609A , Jacksonville FL 32256-2811. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Neurology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. East Coast Neuro Llc can be contacted via phone (904) 513-3954, or through Wilczak, Vanessa Jaclyn via phone (904) 513-3954.

Contact Information

Primary practice address
10550 Deerwood Park Blvd Ste 609A Jacksonville FL 32256-2811
Phone: (904) 513-3954
Fax: (904) 212-0223
Website:
Map and Directions
Authorized official contact:
Name: Wilczak, Vanessa Jaclyn
Phone: (904) 513-3954

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1124424643
LBN Legal business name East Coast Neuro Llc
DBA Doing business as <Unavail>
Authorized official Wilczak, Vanessa Jaclyn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2014
Last updated Jan 22nd, 2026 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers