Healthcare Provider Details
I. General information
NPI: 1063834901
Provider Name (Legal Business Name): NEUROSCIENCE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/13/2014
Last Update Date: 08/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
925 TOPPINO DR
KEY WEST FL
33040
US
IV. Provider business mailing address
925 TOPPINO DR
KEY WEST FL
33040-4269
US
V. Phone/Fax
- Phone: 305-296-2212
- Fax: 305-296-2209
- Phone: 305-296-2212
- Fax: 305-296-2209
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | ME105122 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | ME91517 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | ME116235 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P2900X |
| Taxonomy | Pain Medicine (Psychiatry & Neurology) Physician |
| License Number | ME113950 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
WILLIAM
D
SCHNAPP
Title or Position: OWNER
Credential: MD
Phone: 305-296-2212