| Inpatient Hospital Neurologists Pa | |
|
13506 Summerport Village Pkwy #413 Windermere FL 34786-7366 | |
| (407) 905-4997 | |
| (407) 876-9808 |
| Full Name | Inpatient Hospital Neurologists Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 13506 Summerport Village Pkwy, Windermere, Florida |
| Authorized Official Name and Position | Evan Allen (PRESIDENT OWNER) |
| Authorized Official Contact | 4079054997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inpatient Hospital Neurologists Pa Po Box 741240 Orange City FL 32774-1240 Ph: (386) 774-5211 | Inpatient Hospital Neurologists Pa 13506 Summerport Village Pkwy #413 Windermere FL 34786-7366 Ph: (407) 905-4997 |
| NPI Number | 1811067150 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811067150 | NPI | - | NPPES |
| 262555500 | Medicaid | FL | |
| 58985 | Other | FL | BCBSFL |
| DC4472 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME82452 (Florida) | Primary |
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