| Charlotte Neurological Services | |
|
4235 Kings Hwy Suite 102 Port Charlotte FL 33980-8421 | |
| (941) 743-4987 | |
| (941) 743-4486 |
| Full Name | Charlotte Neurological Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4235 Kings Hwy, Port Charlotte, Florida |
| Authorized Official Name and Position | Ramon A. Gil (PRESIDENT) |
| Authorized Official Contact | 9417434987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Neurological Services 4235 Kings Hwy Suite 102 Port Charlotte FL 33980-8421 Ph: (941) 743-4987 | Charlotte Neurological Services 4235 Kings Hwy Suite 102 Port Charlotte FL 33980-8421 Ph: (941) 743-4987 |
| NPI Number | 1558535567 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 01/05/2016 |
| Medicare PECOS PAC ID | 8820123300 |
|---|---|
| Medicare Enrollment ID | O20100323000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558535567 | NPI | - | NPPES |
| 1700847597 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME56096 (Florida) | Primary |
| Provider Name | Ramon A Gil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700847597 PECOS PAC ID: 1355415811 Enrollment ID: I20080731000364 |
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