EAST COAST NEURO LLC
NPI 1124424643
Psychiatry & Neurology - Neurology in Jacksonville, FL

Q: What is East Coast Neuro LLC's NPI number?

The NPI number for East Coast Neuro LLC is 1124424643. It was assigned to this organization in the NPPES registry on November 11, 2014. The provider is doing business as East Coast Injury Clinic.

Q: What is East Coast Neuro LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since November 11, 2014

10550 DEERWOOD PARK BLVD STE 609A, JACKSONVILLE, FL 32256(904) 513-3954(904) 212-0223 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, May 19, 2025, Apr 30, 2024 and 3 more (6 updates tracked since 2021).

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About East Coast Neuro Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST COAST NEURO LLC (NPI 1124424643), doing business as East Coast Injury Clinic, is a healthcare organization registered as a neurology in Jacksonville, Florida and active in the NPI registry since November 2014. The organization maintains a secondary practice location in Jacksonville and lists Vanessa Jaclyn Wilczak, Owner And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1124424643

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameEAST COAST NEURO LLC

Location Address10550 DEERWOOD PARK BLVD STE 609AJacksonville, FL 32256-2811

Mailing AddressPo Box 936957Atlanta, GA 31193-6957 · (941) 209-5410 · Fax (941) 209-5652

Phone(904) 513-3954

Fax(904) 212-0223

Organization SubpartNo

Authorized OfficialVanessa Jaclyn WilczakOwner And Authorized Official · (904) 513-3954

Enumeration DateNovember 11, 2014

Last NPPES UpdateJanuary 22, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2026

✔ NPI 1124424643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedChiropractor · NeurologyTaxonomy 111NN0400X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical TherapistTaxonomy 225100000X

10550 DEERWOOD PARK BLVD STE 609A, Jacksonville, FL 32256

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Other Names 1

Doing Business AsEast Coast Injury Clinic

Secondary Practice Location 1

Location 113453 N Main St Ste 302Jacksonville, FL 32218-2773 · Phone (904) 513-3954

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY DELL

Physical Therapy Assistant