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East Coast Neuro LLC

Neurology Physician in Jacksonville, FL · enumerated 2014 · authorized official Vanessa Wilczak, Owner and Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124424643

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Registry record

Entity type Organization (Type 2)
Legal business name East Coast Neuro LLC
Other name <Unavail>
Practice address 10550 Deerwood Park Blvd Ste 609a, Jacksonville, FL, 32256
Phone (904) 513-3954
Fax (904) 212-0223
Enumeration date Nov 11, 2014
Last updated in NPPES Jan 22, 2026

Taxonomy & classification

111NN0400X Neurology Chiropractor Chiropractic Providers Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Vanessa Wilczak
Title Owner and Authorized Official
Phone (904) 513-3954

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is East Coast Neuro LLC?
East Coast Neuro LLC is registered in NPPES as a Neurology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-22.