Provider Demographics
NPI:1134518061
Name:NEUROSHORES, LLC
Entity Type:Organization
Organization Name:NEUROSHORES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEEK
Authorized Official - Suffix:
Authorized Official - Credentials:REEGT, CNIM
Authorized Official - Phone:772-299-4730
Mailing Address - Street 1:2046 TREASURE COAST PLZ STE A-182
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-0927
Mailing Address - Country:US
Mailing Address - Phone:772-299-4730
Mailing Address - Fax:772-299-4730
Practice Address - Street 1:2801 OCEAN DR STE 202
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-2025
Practice Address - Country:US
Practice Address - Phone:772-299-4730
Practice Address - Fax:772-299-4730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Single Specialty