| Neurocare Center, Llc | |
|
675 Avenue L Se Winter Haven FL 33880-4219 | |
| (863) 485-8242 | |
| (863) 220-7522 |
| Full Name | Neurocare Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 675 Avenue L Se, Winter Haven, Florida |
| Authorized Official Name and Position | Maresa Lugo Montalvo (DIRECTOR) |
| Authorized Official Contact | 8634858242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurocare Center, Llc 675 Avenue L Se Winter Haven FL 33880-4219 Ph: (863) 485-8242 | Neurocare Center, Llc 675 Avenue L Se Winter Haven FL 33880-4219 Ph: (863) 485-8242 |
| NPI Number | 1649096892 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Medicare PECOS PAC ID | 5294244547 |
|---|---|
| Medicare Enrollment ID | O20250529003999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649096892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Maresa Lugo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477856631 PECOS PAC ID: 7315201209 Enrollment ID: I20190718001877 |
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