East Coast Neuro LLC
NPI 1124424643 · Neurology Physician · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Coast Neuro LLC is a Neurology Physician organization in Jacksonville, FL (NPI 1124424643).
Provider details
- NPI number
- 1124424643
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vanessa Wilczak, Owner and Authorized Official(904) 513-3954
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Neurology Chiropractor111NN0400X
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- East Coast Injury Clinic
Additional practice locations (1)
- 13453 N Main St Ste 302Jacksonville, FL 32218-2773Phone: (904) 513-3954
Registry dates
- Enumerated
- 2014-11-11
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Frequently asked questions
- What is East Coast Neuro LLC's NPI number?
- East Coast Neuro LLC's National Provider Identifier (NPI) is 1124424643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Coast Neuro LLC?
- East Coast Neuro LLC is classified in the NPPES registry as Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is East Coast Neuro LLC located?
- East Coast Neuro LLC's practice location on file with NPPES is 10550 Deerwood Park Blvd Ste 609a, Jacksonville, FL 32256-2811.
- What is East Coast Neuro LLC's phone number?
- The practice phone number listed in the NPPES registry for East Coast Neuro LLC is (904) 513-3954.
- Does East Coast Neuro LLC accept Medicare?
- East Coast Neuro LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Coast Neuro LLC?
- The authorized official listed on East Coast Neuro LLC's NPPES record is Vanessa Wilczak, Owner and Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Coast Neuro LLC's NPI active?
- Yes — East Coast Neuro LLC's NPI (1124424643) is active in the NPPES registry as of the last update on 2026-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.