Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Coast Neuro LLC

Organization Neurology Chiropractor · NPI 1124424643

East Coast Neuro LLC is a Neurology Chiropractor in Jacksonville, Florida. Works from 2 locations. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10550 Deerwood Park Blvd Ste 609A
Jacksonville, FL 32256-2811
Phone: (904) 513-3954
Fax: (904) 212-0223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13453 N Main St Ste 302, Jacksonville, FL 32218-2773 — (904) 513-3954

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Neurology Chiropractor Taxonomy 111NN0400X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1124424643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vanessa Wilczak — Owner And Authorized Official · (904) 513-3954
Other names East Coast Injury Clinic
NPI enumeratedNovember 11, 2014
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing addressPo Box 936957, Atlanta, GA 31193-6957

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